Organization
MD LASER MEDICINE AND SURGERY INC
Active
Other names
MD Vein & Skin Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEMENT S BANDA M.D. (MEDICAL DIRECTOR)
(443) 283-0600
Entity
Organization
Contact information
Practice address
7120 MINSTREL WAY, SUITE 103, COLUMBIA, MD 21045-5248
(443) 283-0600
(443) 283-0399
Mailing address
7120 MINSTREL WAY, SUITE 103, COLUMBIA, MD 21045-5248
(443) 283-0600
(443) 283-0399
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
—
—
207N00000X
Dermatology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
07/09/2010
Last updated
02/16/2019
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