NPI 1083623979

Larry H Gaston, MD

Practitioner Dermatology Physician Baltimore, MD

Practice location

Address: 2300 Garrison Blvd Suite 260, Baltimore, MD 21216-2335
Phone: (410) 945-7544
Fax: (410) 945-3605

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence D29768 (MD)

Other Dermatology providers in Maryland →

Registry record

NPI: 1083623979
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2006
Record last updated: 9 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.