Medspa MD LLC
Medspa MD LLC is a General Practice Physician in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2012.
- Licensed in
- MD
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1804 W North AveBaltimore, MD 21217-1621
Phone: (410) 685-6331
Fax: (410) 685-6332
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence D0060902 (MD) |
|---|
Record details
| NPI number | 1871848614 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Clanzy — Ceo · (410) 446-2257 |
| NPI enumerated | July 18, 2012 |
| Last updated in NPPES | December 10, 2025 |
| Certification date | December 10, 2025 |
| Mailing address | 1804 W North Ave, Baltimore, MD 21217-1621 |
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