| NPI | 1679896252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES STEVEN SAMORODIN Dermatologist 410-628-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D12936) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |