Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 67921 | GA |
NPI | 1164682746 |
---|---|
Provider Name | Dr. Claire Susan Duggal |
First Address | Annapolis, MD 21401-1099 |
Second Address | Annapolis, MD 21401-1099 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2008 |
Last Update Date | 09/07/2015 |