Individual
HAI-OU LAURA JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
511 IDLEWILD AVE, EASTON, MD 21601-3825
(410) 822-6005
(410) 822-9253
Mailing address
511 IDLEWILD AVE, EASTON, MD 21601-3825
(410) 822-6005
(410) 822-9253
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D055485
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470200000
—
MD
Enumeration date
05/27/2006
Last updated
07/14/2010
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