Aesthetics & Body Lab

Family Medicine · Columbia, MD

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At a glance

9650 Santiago Rd Ste 7, Columbia, MD 21045-3960

NPPES record updated Feb 12, 2024. Public records can lag behind changes at a practice.

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Practice location

9650 Santiago Rd Ste 7
Columbia, MD 21045-3960
Professional details: NPI, taxonomy & registry record
NPI1356105241
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Registry details

Primary taxonomy
Family Medicine
Taxonomy code
207Q00000X
Enumeration date
Feb 12, 2024
Record updated
Feb 12, 2024
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Family Medicine

207Q00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

9650 Santiago Rd Ste 7
Columbia, MD 21045-3960
Phone
(301) 309-7307
Fax
(301) 238-8039
Mailing address
9650 SANTIAGO RD STE 7

COLUMBIA, MD 210453960
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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