Charlotte E Modly (NPI# 1447274840, PAC ID# 2860568789) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1447274840 |
PAC ID by PECOS | 2860568789 |
Professional Enrollment ID | I20080829000111 |
Full Name | Charlotte E Modly |
Address |
4 Glyndon Dr 2g Reisterstown MD 21136-2002 |
Phone Number | 4105261300 |
Gender | F |
Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1981 |
Primary Specialty | DERMATOLOGY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4 Glyndon Dr, 2g, Reisterstown, MD 21136-2002 | 4105261300 |
Street Address |
4 GLYNDON DR 2G |
City | REISTERSTOWN |
State | MD |
Zip | 21136-2002 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dang Huy Vu | Podiatry | 4 Glyndon Dr, 2a, Reisterstown, MD 21136-2002 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kevin G. Bache | Chiropractic | 46 Westminster Rd, Reisterstown, MD 21136-1025 | |
Jon D Koman | Orthopedic Surgery | Koman Orthopedics and Sports Medicine LLC | 116 Westminister Pike, Suite 100, Reisterstown, MD 21136-1027 |
Tatyana Reznikov | Physical Medicine and Rehabilitation | 116 Westminster Pike, Suite 106, Reisterstown, MD 21136-1027 | |
David Alvarado | Physician Assistant | Koman Orthopedics and Sports Medicine LLC | 116 Westminister Pike, Suite 100, Reisterstown, MD 21136-1027 |
Paul Moroney | Physical Therapy | Koman Orthopedics and Sports Medicine LLC | 116 Westminister Pike, Suite 100, Reisterstown, MD 21136-1027 |
Michael S Goldman | Diagnostic Radiology | Advanced Radiology Pa | 113 Westminster Pike, Suite 103, Reisterstown, MD 21136-1050 |
Rebecca L Roller | Diagnostic Radiology | Advanced Radiology Pa | 113 Westminster Pike, Suite 103, Reisterstown, MD 21136-1050 |
Frederic K Yeganeh | Diagnostic Radiology | Advanced Radiology Pa | 113 Westminster Pike, Suite 103, Reisterstown, MD 21136-1050 |
Jennifer C Correa-elkins | Clinical Social Worker | Chesapeake Behavioral Health Center, LLC | 217 Main St B, Reisterstown, MD 21136-1213 |
Elsa Victoria Correa-deleonardo | Nurse Practitioner | Chesapeake Behavioral Health Center, LLC | 217 Main St B, Reisterstown, MD 21136-1213 |
Find all physicians in zip 21136 |
City | REISTERSTOWN |
Zip Code | 21136 |
Specialty | DERMATOLOGY |
City + Specialty | REISTERSTOWN + DERMATOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.