Whittenlasereye LLC

NPI #1124433867 in Charlotte Hall, Maryland

Provider Information

NPI Number: 1124433867
Entity Type: Organization
Organization Name: Whittenlasereye LLC
Primary Specialty: Ophthalmology
Enumeration Date: Jun 20, 2014
Last Updated: Jul 18, 2016

Practice Location

Address: 37767 MARKET DR
City: Charlotte Hall
State: Maryland
ZIP Code: 20622-3188
Phone: (301) 825-5755

Authorized Official

Name: DR. MARK E WHITTEN, M.D.
Title: SOLE MEMBER
Phone: (301) 825-5755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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