Individual
MARK ALBRECHT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9601 BLACKWELL RD, SUITE 100, ROCKVILLE, MD 20850-3472
(301) 340-9200
(301) 340-6934
Mailing address
6204 MEADOW CT, NORTH BETHESDA, MD 20852-3637
(301) 468-2668
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0047108
MD
Other
Enumeration date
06/21/2006
Last updated
03/08/2016
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