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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