NPI 1750693503

MD Laser Medicine and Surgery INC

Organisation Dermatology Physician Columbia, MD

Practice location

Address: 7120 Minstrel Way Suite 103, Columbia, MD 21045-5248
Phone: (443) 283-0600
Fax: (443) 283-0399

Authorised official

Name: Clement S Banda
Title: Medical Director
Phone: (443) 283-0600

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Maryland →

Phlebology Physician

Allopathic & Osteopathic Physicians Taxonomy 202K00000X

Other Phlebology providers in Maryland →

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Registry record

NPI: 1750693503
Entity type: Organization
NPI issued: 9 Jul 2010
Record last updated: 16 Feb 2019

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.