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Individual

SUSAN MCLAUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0062260
MD
207NP0225X
Pediatric Dermatology Physician
D0062260
MD
207NS0135X
Procedural Dermatology Physician
D0062260
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
409618500
MD
01
KT93 / 648783-011
BC / BS OF MD
MD
01
S186 / S 186
BLUECHOICE
MD
Enumeration date
05/26/2006
Last updated
03/09/2012
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