| NPI | 1215952130 |
|---|---|
| Doing Business As | MARYLAND LASER SKIN & VEIN INSTITUTE LLL |
| Entity Type | Organization |
| Authorized Contact | JO ANN B SHOCK Billing Manager 410-666-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-04-10 |