Organization
ANNE ARUNDEL DERMATOLOGY, PA
Active
Parent organization
ANNE ARUNDEL DERMATOLOGY, PA
Other names
Anne Arundel Dermatology, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNE ARUNDEL DERMATOLOGY, PA
Authorized official
ANGELA RUTH PETERMAN (MD)
(443) 351-3376
Entity
Organization
Contact information
Practice address
8503 ARLINGTON BLVD STE 150, FAIRFAX, VA 22031-4629
(301) 564-3131
Mailing address
1306 CONCOURSE DR STE 201, LINTHICUM HEIGHTS, MD 21090-1033
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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