Organization
CAROLYN J PASS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN JOAN PASS M.D. (PRESIDENT)
(410) 525-1515
Entity
Organization
Contact information
Practice address
1001 PINE HEIGHTS AVE, SUITE 301, BALTIMORE, MD 21229-5208
(410) 525-1515
Mailing address
1001 PINE HEIGHTS AVE, SUITE 301, BALTIMORE, MD 21229-5208
(410) 525-1515
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0010952
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082521200
—
MD
Enumeration date
09/13/2010
Last updated
09/13/2010
Update your record
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