Individual
DR. MARK O'BRIEN PEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 520, ANNAPOLIS, MD 21401-3046
(410) 266-1188
(410) 266-9466
Mailing address
PO BOX 64323, BALTIMORE, MD 21264-4323
(443) 481-6566
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0056208
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201244000
FEDERAL WORKMANS COMP
—
05
—
243601900
—
MD
01
—
3330967
AETNA HMO
—
01
—
383406
MAMSI
—
01
—
60854002
BCBS
—
01
—
60854004
BCBS
—
01
—
6645368
CIGNA
—
01
—
7413170
AETNA PPO
—
01
—
J2120001
BCBS
—
Enumeration date
09/02/2005
Last updated
01/24/2011
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