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Individual

SCOTT KLASMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
13830 OUTLET DR, SILVER SPRING, MD 20904-4970
(301) 890-9779
(301) 890-0923
Mailing address
9673 GWYNN PARK DR, ELLICOTT CITY, MD 21042-5718
(410) 480-8178

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001378
VA
152W00000X
Optometrist
OET008917
PA
152W00000X
Optometrist
Primary
TA1176
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
922117
MD
Enumeration date
07/13/2006
Last updated
07/08/2007
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