Individual
MR. EDGAR F PEITHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
701 CHARLES ST, LA PLATA, MD 20646-5930
(301) 609-4000
Mailing address
127 TANNERS POINT DR, STEVENSVILLE, MD 21666-3701
(410) 643-1734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C01172
MD
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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