Organization
MEDICAL AND AESTHETIC DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL BANSAL MD (OWNER)
(302) 593-5829
Entity
Organization
Contact information
Practice address
9256 BENDIX RD STE 200A, COLUMBIA, MD 21045-1848
(302) 593-5829
Mailing address
9256 BENDIX RD STE 200A, COLUMBIA, MD 21045-1848
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D72260
MD
Other
Enumeration date
10/27/2011
Last updated
06/29/2023
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