Healthcare Provider Details

I. General information

NPI: 1841106614
Provider Name (Legal Business Name): EDMUND J MACLAUGHLIN MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 DUTCHMANS LN STE A3
EASTON MD
21601-4302
US

IV. Provider business mailing address

505 DUTCHMANS LN STE A3
EASTON MD
21601-4302
US

V. Phone/Fax

Practice location:
  • Phone: 410-819-6545
  • Fax: 410-819-6750
Mailing address:
  • Phone: 410-819-6545
  • Fax: 410-819-6750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: KATHI GARRETT
Title or Position: EVP
Credential:
Phone: 561-699-7101