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Organization
THE CENTER FOR LASER AND AESTHETIC MEDICINE LLC
Active
Organization
THE CENTER FOR LASER AND AESTHETIC MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUHA SABOUNI MD (PARTNER/ PRESIDENT)
(540) 819-1878
Entity
Organization
Contact information
Practice address
3735 NAZARETH RD STE 201, EASTON, PA 18045-8346
(610) 438-2990
(610) 438-2986
Mailing address
PO BOX 1360, EASTON, PA 18044-1360
(610) 438-2990
(610) 438-2986
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
PA
207V00000X
Obstetrics & Gynecology Physician
—
PA
2084P0015X
Psychosomatic Medicine Physician
—
PA
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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