Organization
UNIVERSITY OF MARYLAND DERMATOLOGISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN PETTIT (REIMBURSEMENT OPS CREDENTIALING SPE)
(667) 214-1353
Entity
Organization
Contact information
Practice address
1447 YORK RD STE 102, LUTHERVILLE, MD 21093-6074
(667) 214-1171
Mailing address
1447 YORK RD STE 102, LUTHERVILLE, MD 21093-6074
(667) 214-1171
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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