Chesapeake Laser & Skin Care
NPI #1164751251 in Stevensville, Maryland
Provider Information
- NPI Number
- 1164751251
- Entity Type
- Organization
- Organization Name
- Chesapeake Laser & Skin Care
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Dec 18, 2009
- Last Updated
- Dec 18, 2009
Practice Location
- Address
- 127 TANNERS POINT DR
- City
- Stevensville
- State
- Maryland
- ZIP Code
- 21666-3701
- Phone
- (407) 328-0825
Authorized Official
- Name
- MR. EDGAR FREDERICK PEITHMAN JR., PA C
- Title
- OWNER
- Phone
- (410) 530-0331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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