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
6021 UNIVERSITY BLVD STE 370-390, ELLICOTT CITY, MD 21043-6077
(667) 214-1171
Mailing address
PO BOX 64445, BALTIMORE, MD 21264-4445
(410) 328-5767
(410) 328-0098
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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