Medical And Aesthetic Dermatology | |
9256 Bendix Rd Ste 200a Columbia MD 21045-1848 | |
(302) 593-5829 | |
Not Available |
Full Name | Medical And Aesthetic Dermatology |
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Speciality | Clinic/Center |
Location | 9256 Bendix Rd Ste 200a, Columbia, Maryland |
Authorized Official Name and Position | Cheryl Bansal (OWNER) |
Authorized Official Contact | 3025935829 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical And Aesthetic Dermatology 9256 Bendix Rd Ste 200a Columbia MD 21045-1848 Ph: () - | Medical And Aesthetic Dermatology 9256 Bendix Rd Ste 200a Columbia MD 21045-1848 Ph: (302) 593-5829 |
NPI Number | 1720364227 |
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Provider Enumeration Date | 10/27/2011 |
Last Update Date | 06/29/2023 |
Medicare PECOS PAC ID | 7810160058 |
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Medicare Enrollment ID | O20111102000847 |
Identifier | Type | State | Issuer |
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1720364227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | D72260 (Maryland) | Primary |
Provider Name | Monte S Meltzer |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1861418840 PECOS PAC ID: 2860550878 Enrollment ID: I20081021000084 |
Provider Name | Cheryl Dewan Bansal |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1174790851 PECOS PAC ID: 7315110566 Enrollment ID: I20111103000111 |
Provider Name | Dathao Huynh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285268300 PECOS PAC ID: 4082004825 Enrollment ID: I20211209000966 |
Ethos Health Maryland 3 Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10840 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 352-732-5590 Fax: 352-732-0292 | |
Lorien Dialysis, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6334 Cedar Ln, Columbia, MD 21044 Phone: 410-750-7500 | |
Premier Medical Group Of Maryland Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10705 Charter Dr Ste 420, Columbia, MD 21044 Phone: 410-709-7432 | |
University Of Maryland Physicians, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5890 Waterloo Rd, Columbia, MD 21045 Phone: 410-667-2142 Fax: 410-799-9097 | |