MEDICARE: SUSAN MCLAUGHLIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	D0062260	MD
2	207NP0225X	Pediatric Dermatology Physician	D0062260	MD
3	207NS0135X	Procedural Dermatology Physician	D0062260	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	KT93 / 648783-011	OTHER	MD	BC / BS OF MD
3	S186 / S 186	OTHER	MD	BLUECHOICE

General Provider Information

NPI Number	:	1154377448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN MCLAUGHLIN MD

Provider Business Mailing Address
First Line	:	8186 LARK BROWN RD
Second Line	:	SUITE 304
City	:	ELKRIDGE
State	:	MD
Zip	:	21075-6433
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8186 LARK BROWN RD
Second Line	:	SUITE 304
City	:	ELKRIDGE
State	:	MD
Zip	:	21075-6433
Country	:	US
Telephone Number	:	240-381-5768
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	03/09/2012

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Directions to “ SUSAN MCLAUGHLIN MD” Practice Location

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