The Center For Laser And Aesthetic Medicine LLC
Internal Medicine, Addiction Medicine in Easton, PA. Organization (NPI-2).
NPI number1083000145
StatusActive
Last updated in NPPESApr 15, 2015
Details
- NPI
- 1083000145
- Entity type
- Organization (NPI-2)
- Legal business name
- The Center For Laser And Aesthetic Medicine LLC
- Organization subpart
- No
- Enumeration date
- Apr 15, 2015
- Last updated
- Apr 15, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RA0401X | Internal Medicine, Addiction Medicine | – | PA | Yes |
| 207N00000X | Dermatology | – | PA | |
| 207V00000X | Obstetrics & Gynecology | – | PA | |
| 2084P0015X | Psychiatry & Neurology, Psychosomatic Medicine | – | PA |
Practice location
3735 Nazareth Rd Ste 201Easton, PA 18045-8346
Phone 610-438-2990 · Fax 610-438-2986
Mailing address
Po Box 1360Easton, PA 18044-1360
Phone 610-438-2990 · Fax 610-438-2986
Authorized official
Douha Sabouni
Partner/ President
5408191878
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