Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aesthetics & Body Lab

Organization Family Medicine Physician · NPI 1356105241

Aesthetics & Body Lab is a Family Medicine Physician in Columbia, Maryland. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

9650 Santiago Rd Ste 7
Columbia, MD 21045-3960
Phone: (301) 309-7307
Fax: (301) 238-8039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1356105241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keisha Bernard — Owner · (240) 328-2015
NPI enumeratedFebruary 12, 2024
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 10, 2024
Mailing address9650 Santiago Rd Ste 7, Columbia, MD 21045-3960

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