# DUGAN AESTHETICS & WELLNESS CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053039214
- **Authorized official:** KHADIJA DUGAN MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (443) 353-9002

## Contact information

- **Practice address:** 1997 ANNAPOLIS EXCHANGE PKWY STE 300, ANNAPOLIS, MD 21401-3273
- **Practice address phone:** (443) 353-9002
- **Mailing address:** PO BOX 970, EDGEWATER, MD 21037-0970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2022
- **Last updated:** 08/15/2022