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General NPI Number Information
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NPI Number | 1053415356
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Entity Type | Organization
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Legal Business Name | HERBERT L KRONTHAL MD PA
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 02/22/2010
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Provider Practice Location Address
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Address Line | 6301 N CHARLES STREET SUITE 1
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City | BALTIMORE
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State | MD
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Zip | 21212-1094
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Country | US
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Telephone | 410-377-4430
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Fax | 410-377-4437
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Provider Business Mailing Address
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Address Line | 6301 N CHARLES STREET SUITE 1
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City | BALTIMORE
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State | MD
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Zip | 21212-1094
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Country | US
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Telephone | 410-377-4430
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Fax | 410-377-4437
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Authorized Official
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Title or Position | PRESIDENT
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Name | HERBERT L KRONTHAL
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Credential | MD
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Telephone | 410-377-4430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D0006036
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License Number State | MD
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