Larry H Gaston M.D.

NPI 1083623979 - Dermatology - 207N00000X

NPI Details
NPI 1083623979
Gender Male
Enumeration Date 08/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2300 GARRISON BLVD
SUITE 260
BALTIMORE MD, 21216-2335, US
Phone (410) 945-7544
Fax (410) 945-3605
Business Location
2300 GARRISON BLVD
SUITE 260
BALTIMORE MD, 21216-2335, US
Phone (410) 945-7544
Fax (410) 945-3605
Toxanomy
Taxonomy Code 207N00000X
License State Maryland
License Number D29768
Remove 1083623979 NPI Number
 

According to our database, Dr. Larry H Gaston M.D. NPI is 1083623979, taxonomy code is 207N00000X and license number is D29768, license state is located at Maryland. Larry H Gaston M.D. physically located at 2300 Garrison Blvd, Baltimore MD, 21216-2335. NPI Number Larry H Gaston M.D. has the Individual type.

Sponsored links

1083623979 NPI number is provided on an as is basis without warranty of any kind. 1083623979 is maintained by the National Plan & Provider Enumeration System. The contents of Larry H Gaston M.D. are for informational purposes only.