Anne Arundel Dermatology, P.A.
Specialist in Frederick, MD. Organization (NPI-2).
NPI number1144050832
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1144050832
- Entity type
- Organization (NPI-2)
- Legal business name
- Anne Arundel Dermatology, P.A.
- Organization subpart
- Yes
- Enumeration date
- Aug 6, 2024
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
3430 Worthington Blvd Ste 205Frederick, MD 21704-7019
Phone 301-378-9590 · Fax 301-732-4878
Mailing address
1306 Concourse Dr Ste 201Linthicum Heights, MD 21090-1033
Authorized official
Angela Ruth Peterman
MD
4433513376
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