Charles S. Samorodin Md, Pa

LBN: Charles S. Samorodin Md, Pa
Charles S. Samorodin Md, Pa is an health care organization with primary practice located at 54 Scott Adam Rd Suite 201, Cockeysville MD 21030-3292. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Charles S. Samorodin Md, Pa can be contacted via phone (410) 628-2266, or through Samorodin, Charles Steven via phone (410) 628-2266.

Contact Information

Primary practice address
54 Scott Adam Rd Suite 201 Cockeysville MD 21030-3292
Phone: (410) 628-2266
Fax: (410) 628-2653
Website:
Map and Directions
Authorized official contact:
Name: Samorodin, Charles Steven Doctor of Medicine (MD)
Phone: (410) 628-2266

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X D12936 Maryland

Profile Details

NPI number 1679896252
LBN Legal business name Charles S. Samorodin Md, Pa
DBA Doing business as
Authorized official Samorodin, Charles Steven Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2010
Last updated Mar 10th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679896252 NPPES
Maryland MEDICAID 051531100

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