Organization
CHARM CITY PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA MARIE WOODBURN D.P.M. (PODIATRIST/OWNER)
(410) 828-7200
Entity
Organization
Contact information
Practice address
7505 OSLER DR, SUITE 307, TOWSON, MD 21204-7736
(410) 828-7200
(410) 828-7201
Mailing address
7505 OSLER DR, SUITE 307, TOWSON, MD 21204-7736
(410) 828-7200
(410) 828-7201
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01343
MD
Other
Enumeration date
08/21/2007
Last updated
10/23/2009
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