Anne Arundel Dermatology, P.A.
Specialist in Easton, MD. Organization (NPI-2).
NPI number1407686199
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1407686199
- 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
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
4 Caulk Ln Ste BEaston, MD 21601-3808
Phone 410-822-8223 · Fax 410-822-1423
Mailing address
1306 Concourse Dr Ste 201Linthicum Heights, MD 21090-1033
Authorized official
Angela Ruth Peterman
MD
4433513376
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