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Individual

JULIA CECILIA SANTOSO PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
515 FAIRMOUNT AVE, SUITE 350, TOWSON, MD 21286-5466
(410) 494-1340
Mailing address
515 FAIRMOUNT AVE STE 350, TOWSON, MD 21286-5466
(410) 494-1355
(410) 494-1361

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
H59469
MD

Other

Enumeration date
06/19/2006
Last updated
12/04/2020
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