Medspa M.D. Llc

LBN: Medspa M.D. Llc
Medspa M.D. Llc is an health care organization with primary practice located at 310 N Eutaw St , Baltimore MD 21201-1807. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Medspa M.D. Llc can be contacted via phone (410) 633-7721, or through Clanzy, Susan Renee via phone (410) 446-2257.

Contact Information

Primary practice address
310 N Eutaw St Baltimore MD 21201-1807
Phone: (410) 633-7721
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clanzy, Susan Renee Doctor of Medicine (MD)
Phone: (410) 446-2257

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X D0060902 Maryland

Profile Details

NPI number 1871848614
LBN Legal business name Medspa M.D. Llc
DBA Doing business as
Authorized official Clanzy, Susan Renee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2012
Last updated Jul 18th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers