Organization
ANNE ARUNDEL DERMATOLOGY AFFILIATES PC
Active
Parent organization
ANNE ARUNDEL DERMATOLOGY, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNE ARUNDEL DERMATOLOGY, P.A.
Authorized official
ANGELA RUTH PETERMAN (MD)
(443) 351-3376
Entity
Organization
Contact information
Practice address
54 SCOTT ADAM RD STE 301, HUNT VALLEY, MD 21030-3360
(443) 351-3376
Mailing address
1306 CONCOURSE DR STE 201, LINTHICUM, MD 21090-1033
(410) 384-9311
(410) 384-9433
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
Other
Enumeration date
12/16/2020
Last updated
04/23/2024
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