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Organization
CHESAPEAKE LASER & SKIN CARE
Active
Organization
CHESAPEAKE LASER & SKIN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR FREDERICK PEITHMAN JR. PA C (OWNER)
(410) 530-0331
Entity
Organization
Contact information
Practice address
127 TANNERS POINT DR, STEVENSVILLE, MD 21666-3701
(407) 328-0825
(407) 322-5478
Mailing address
127 TANNERS POINT DR, STEVENSVILLE, MD 21666-3701
(407) 328-0825
(407) 322-5478
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0001172
MD
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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