NPI | 1588678585 |
---|---|
Doing Business As | SHORE DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | TAMY B BUCKEL Owner/Physician 410-778-0003 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0064239) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2014-01-16 |