Individual
PETER MARTIN SCHISSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7500 GREENWAY CENTER DR, STE 430, GREENBELT, MD 20770-3502
(301) 345-5857
(301) 474-5621
Mailing address
7500 GREENWAY CENTER DR, STE 430, GREENBELT, MD 20770-3502
(301) 345-5857
(301) 474-5621
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D22780
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
791841100
—
MD
01
—
PTAN 0265590001
OTHER PROVIDER
SC
Enumeration date
06/22/2006
Last updated
10/30/2011
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