Individual
MR. CYLBURN EARL SODEN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13920 BALTIMORE AVE, LAUREL, MD 20707-5009
(301) 776-0743
(301) 776-0456
Mailing address
13920 BALTIMORE AVE, LAUREL, MD 20707-5009
(301) 776-0743
(301) 776-0456
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0024150
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521382125
TAX ID
MD
Enumeration date
03/15/2006
Last updated
08/07/2008
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