Organization
ANNAPOLIS ASTHMA PULMONARY AND SLEEP SPEC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT T PETERSON MD (PRESIDENT)
(410) 266-1644
Entity
Organization
Contact information
Practice address
2000 MEDICAL PKWY, SUITE 607, ANNAPOLIS, MD 21401-3742
(410) 266-1644
(410) 266-1642
Mailing address
2000 MEDICAL PKWY, SUITE 607, ANNAPOLIS, MD 21401-3742
(410) 266-1644
(410) 266-1642
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00317246
MEDICARE RAILROAD
MD
Enumeration date
11/21/2006
Last updated
06/03/2011
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