| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1104445535 | SHOREWELLNESS AND MED SPA, LLC | 11200 RACETRACK RD STE A104 | BERLIN | MD | 218113809 | |||
| 1174635536 | GIBBS | ANGELA | L | 11200 RACETRACK RD | BERLIN | MD | 218113809 | |
| 1972554368 | GUNN | WILLIAM | EDWARD | 11200 RACETRACK RD STE A104 | BERLIN | MD | 218113809 |