Dr Charles Maxwell Weddington, MD | |
419 W Redwood St Ste 235, Baltimore, MD 21201-1734 | |
(405) 501-5781 | |
Not Available |
Full Name | Dr Charles Maxwell Weddington |
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Gender | Male |
Speciality | Dermatology |
Location | 419 W Redwood St Ste 235, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003347519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 125071373 (Illinois) | Secondary |
207R00000X | Internal Medicine | 125.071373 (Illinois) | Secondary |
207N00000X | Dermatology | D0095080 (Maryland) | Primary |
Entity Name | University Of Maryland Dermatologists Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659304152 PECOS PAC ID: 7810888484 Enrollment ID: O20040323000770 |
Mailing Address | Practice Location Address |
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Dr Charles Maxwell Weddington, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: () - | Dr Charles Maxwell Weddington, MD 419 W Redwood St Ste 235, Baltimore, MD 21201-1734 Ph: (405) 501-5781 |
Sarah Nakib, MD, MPH Dermatology Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline St, Baltimore, MD 21287 Phone: 410-955-8662 | |
Elizabeth Tanzi, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-6776 | |
Crystal Ugochi Aguh, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1550 Orleans St, Crb Ii Room 211, Baltimore, MD 21287 Phone: 410-955-2400 Fax: 410-955-8645 | |
Dr. Larry H Gaston, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 Garrison Blvd, Suite 260, Baltimore, MD 21216 Phone: 410-945-7544 Fax: 410-945-3605 | |
Dr. Manisha J. Loss, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline St, Suite 8060b, Baltimore, MD 21287 Phone: 410-502-2082 | |
Dr. Marcia Sanford Driscoll, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 419 W Redwood St, Suite 160, Baltimore, MD 21201 Phone: 410-328-3167 Fax: 410-328-1323 | |
Dr. Myriam Lucia Vega Gonzalez, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline St # 8072, Baltimore, MD 21287 Phone: 410-955-5933 Fax: 410-502-2309 |