Baltimore Laser Solutions

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0031704 Issued in MD

Legal business name

BALTIMORE LASER SOLUTIONS

Doing business as

Monarch Medspa

Practice address

9608 Deereco Road
Timonium, MD 21093-2120

Phone

(410) 252-2391

NPI assigned

Mar 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Abraham Fadley Jr.

Title

President

Phone

(410) 252-2391

Specialties & licenses 1

Addresses

Other names 1

• Monarch Medspa Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356465983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 DEERECO ROAD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-252-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9608 DEERECO ROAD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932120",
            "telephone_number": "410-252-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE LASER SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FADLEY",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-252-2391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0031704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Medspa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Willibrord Bagiraneza
• Eve Bailey
• Ballenger Chiropractic, P.a.
• David Jon Ballenger, D.C.
• Mark E. Ballinger, D.D.S.
• Kirk Darnel Baltimore
• Diane Lynn Banchiere, LCSW-C
• Earle McKenzie Bane III, PT,DPT,ATC,SCS,CSCS
• Khalia Bariya
• Zahara Bariya

• Specialist in Timonium, MD
• Providers in Timonium, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.