# CRM DERMATOLOGY, L.L.C.

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

## Provider details

- **NPI number:** 1871786087
- **Authorized official:** DR. CIRO ROBERTO MARTINS M.D. (OWNER)
- **Authorized official phone:** (410) 532-7546

## Contact information

- **Practice address:** 2 VILLAGE SQUARE, THE VILLAGE OF CROSS KEYS, SUITE \# 260, BALTIMORE, MD 21210-1935
- **Practice address phone:** (410) 532-7546
- **Practice address fax:** (410) 532-7553
- **Mailing address:** 2 VILLAGE SQUARE, SUITE\# 260, BALTIMORE, MD 21210-1935
- **Mailing address phone:** (410) 532-7546
- **Mailing address fax:** (410) 532-7553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | D0051794 | MD | Yes |

## Other

- **Enumeration date:** 08/21/2007
- **Last updated:** 11/19/2007