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NPI Profile for THE CENTER FOR LASER AND AESTHETIC MEDICINE LLC in EASTON, PA.
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207RA0401X | 11 | Physician/Internal Medicine | |
Dermatology |
207N00000X | 07 | Physician/Dermatology | |
Obstetrics & Gynecology |
207V00000X | 16 | Physician/Obstetrics & Gynecology | |
Psychosomatic Medicine |
2084P0015X | 86 | Physician/Neuropsychiatry |
| NPI # | 1083000145 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/15/2015 | |
| Last updated | 04/15/2015 - About 11 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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THE CENTER FOR LASER AND AESTHETIC MEDICINE LLC