Organization
UNIVERSITY OF MARYLAND DERMATOLOGISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN PETTIT (REIMBURSEMENT OPS CREDENTIALING SPE)
(667) 214-1353
Entity
Organization
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(667) 214-1608
(410) 328-0929
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(667) 214-1608
(410) 328-0929
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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