Individual
DR. LARRY H GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 GARRISON BLVD, SUITE 260, BALTIMORE, MD 21216-2335
(410) 945-7544
(410) 945-3605
Mailing address
2300 GARRISON BLVD, SUITE 260, BALTIMORE, MD 21216-2335
(410) 945-7544
(410) 945-3605
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D29768
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331621100
—
MD
Enumeration date
08/07/2006
Last updated
09/09/2021
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