Provider Demographics
NPI:1184446932
Name:EDMUND J. MACLAUGHLIN, MD, LLC
Entity type:Organization
Organization Name:EDMUND J. MACLAUGHLIN, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AO
Authorized Official - Prefix:
Authorized Official - First Name:JANINE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MUIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-918-6630
Mailing Address - Street 1:505 DUTCHMANS LN STE A3
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-4302
Mailing Address - Country:US
Mailing Address - Phone:410-819-6630
Mailing Address - Fax:410-819-6646
Practice Address - Street 1:1415 S DIVISION ST STE A
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-7291
Practice Address - Country:US
Practice Address - Phone:410-860-6801
Practice Address - Fax:410-860-6864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty