| NPI | 1750693503 |
|---|---|
| Doing Business As | MD VEIN & SKIN SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | CLEMENT S BANDA Medical Director 443-283-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 202K00000X Phlebology |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2019-02-16 |