Whalio Doctors

NPI 1043512502

Skin Care Specialists LLC

Organisation Plastic Surgery Physician Woodbine, MD

Practice location

Address
14959 Old Frederick Rd, Woodbine, MD 21797-8613
Phone
(410) 489-6249
Fax
(206) 350-5127

Authorised official

Name
Ivens C Leflore
Title
Owner
Phone
(410) 489-6249

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence D09546 (MD)

Registry record

NPI
1043512502
Entity type
Organization
NPI issued
3 Dec 2010
Record last updated
6 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.