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Organization

ANNAPOLIS DERMATOLOGY CENTER, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETH G DIAMOND MD (PRESIDENT)
(410) 268-3887
Entity
Organization

Contact information

Practice address
71 OLD MILL BOTTOM RD N, SUITE 300, ANNAPOLIS, MD 21409-5431
(410) 268-3877
(410) 268-8171
Mailing address
71 OLD MILL BOTTOM RD N, SUITE 300, ANNAPOLIS, MD 21409-5431
(410) 268-3877
(410) 268-8171

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0053350
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CH6676
MD
Enumeration date
08/30/2006
Last updated
07/08/2016
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