| 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 |