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Individual

DR. TANIA RAE THERESE PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5471 C2 WISCONSIN AVENUE, SUITE 200, CHEVY CHASE, MD 20815
(301) 798-9699
Mailing address
5471 C2 WISCONSIN AVENUE, SUITE 200, CHEVY CHASE, MD 20815
(301) 798-9699

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
D0073304
MD
207NS0135X
Procedural Dermatology Physician
MD040173
DC

Other

Enumeration date
04/14/2008
Last updated
12/07/2016
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