Individual
DR. NICOLE EMILY BERTRAM LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8415 BELLONA LN, SUITE 212, TOWSON, MD 21204-2055
(410) 913-3740
Mailing address
14770 TRIADELPHIA MILL RD, DAYTON, MD 21036-1215
(410) 913-3740
(301) 596-9271
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0044675
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0044675
STATE MEDICAL LICENSE
MD
Enumeration date
05/20/2006
Last updated
07/08/2007
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