Individual
DR. CHARLOTTE ELISABETH MODLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 GLYNDON DR, SUITE 2G, REISTERSTOWN, MD 21136-2000
(410) 526-1300
(410) 526-3316
Mailing address
4 GLYNDON DR, SUITE 2G, REISTERSTOWN, MD 21136-2000
(410) 526-1300
(410) 526-3316
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D43457
MD
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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