Organization
CHARLES S. SAMORODIN MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES STEVEN SAMORODIN M.D. (DERMATOLOGIST)
(410) 628-2266
Entity
Organization
Contact information
Practice address
54 SCOTT ADAM RD, SUITE 201, COCKEYSVILLE, MD 21030-3292
(410) 628-2266
(410) 628-2653
Mailing address
54 SCOTT ADAM ROAD, SUITE 201, COCKEYSVILLE, MD 21030-3292
(410) 628-2266
(410) 628-2653
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D12936
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051531100
—
MD
Enumeration date
03/10/2010
Last updated
03/10/2010
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