Organization
TALBOT DERMATOLOGY & DERMATOLOGIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID P SMACK MD (OWNER)
(410) 822-9890
Entity
Organization
Contact information
Practice address
5 CAULK LANE, SUITE 2, EASTON, MD 21601
(410) 822-9890
(410) 763-9536
Mailing address
5 CAULK LANE, SUITE 2, EASTON, MD 21601
(410) 822-9890
(410) 763-9536
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
11/04/2009
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