MEDICARE: DR. CLAIRE SUSAN DUGGAL M.D.

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	2086S0122X	Plastic and Reconstructive Surgery Physician	67921	GA

General Provider Information

NPI Number	:	1164682746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAIRE SUSAN DUGGAL M.D.

Provider Business Mailing Address
First Line	:	621 RIDGELY AVE 401
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-1099
Country	:	US
Telephone Number	:	410-544-9988
Fax Number	:	410-544-9994

Provider Business Practice Location Address
First Line	:	621 RIDGELY AVE 401
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-1099
Country	:	US
Telephone Number	:	410-544-9988
Fax Number	:	410-544-9994

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

Provider Enumeration Date	:	06/17/2008
Last Update Date	:	07/09/2015

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