Provider Demographics
NPI:1891208435
Name:KARLIN, SAMANTHA BEATRICE (PA-C)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:BEATRICE
Last Name:KARLIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 OAKDALE DR
Mailing Address - Street 2:
Mailing Address - City:COOKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21723-9602
Mailing Address - Country:US
Mailing Address - Phone:443-226-3620
Mailing Address - Fax:
Practice Address - Street 1:7701 HARFORD RD
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-6403
Practice Address - Country:US
Practice Address - Phone:410-277-8727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0006657363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant