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Individual

DR. CYLBURN EARL SODEN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., M.A.

Contact information

Practice address
13920 BALTIMORE AVE, LAUREL, MD 20707-5009
(301) 776-1094
(301) 776-0456
Mailing address
13920 BALTIMORE AVE, LAUREL, MD 20707-5009
(301) 776-1094
(301) 776-0456

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
64075
GA
207ND0101X
MOHS-Micrographic Surgery Physician
A95934
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
D0020522
MD

Other

Enumeration date
11/16/2007
Last updated
09/07/2011
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