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Organization

MD EYE & FACE, LLC

Active
Other names
Maryland Eye & Face
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PARAG D GANDHI MD FACS (PHYSICIAN OWNER)
(336) 793-7509
Entity
Organization

Contact information

Practice address
9110 PHILADELPHIA RD STE 108, ROSEDALE, MD 21237-4323
(410) 517-7957
(833) 944-1871
Mailing address
2 BELLEMORE RD, BALTIMORE, MD 21210-1313
(336) 793-7509
(978) 506-2062

Taxonomy

Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689611691
INDIVIDUAL NPI
Enumeration date
06/13/2020
Last updated
06/13/2020
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