Samantha Consoli
Samantha Consoli is a Physician Assistant in Baltimore, Maryland. Qualified in 2021, 5 years ago. Practices with Modern Dermatology of Maryland, LLC, a 2-clinician group and accepts Medicare assignment.
- Years since qualifying
- 5
- In the registry since
- 2020
Practice location Address checks out
620 W Lexington St Ste 5110Baltimore, MD 21201-1508
Phone: (410) 777-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1487253738 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 19, 2020 |
| Last updated in NPPES | December 3, 2024 |
| Certification date | December 3, 2024 |
| Mailing address | 620 W Lexington St Ste 5110, Baltimore, MD 21201-1508 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Modern Dermatology Of Maryland, Llc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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