Individual
SAMANTHA PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10753 FALLS ROAD, PAVILION II, LUTHERVILLE, MD 21093
(410) 583-2926
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 583-2926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D70819
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048205600
—
MD
Enumeration date
07/17/2006
Last updated
01/31/2013
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