# CHARM CITY PODIATRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386837581
- **Authorized official:** DR. TINA MARIE WOODBURN D.P.M. (PODIATRIST/OWNER)
- **Authorized official phone:** (410) 828-7200

## Contact information

- **Practice address:** 7505 OSLER DR, SUITE 307, TOWSON, MD 21204-7736
- **Practice address phone:** (410) 828-7200
- **Practice address fax:** (410) 828-7201
- **Mailing address:** 7505 OSLER DR, SUITE 307, TOWSON, MD 21204-7736
- **Mailing address phone:** (410) 828-7200
- **Mailing address fax:** (410) 828-7201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 01343 | MD | Yes |

## Other

- **Enumeration date:** 08/21/2007
- **Last updated:** 10/23/2009