Organization
P. L. SITARAS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER L. SITARAS M.D. (M.D.)
(410) 879-3007
Entity
Organization
Contact information
Practice address
1814 BEL AIR RD, SUITE 100, FALLSTON, MD 21047-2734
(410) 879-3007
(410) 877-7140
Mailing address
10845 PHILADELPHIA RD, WHITE MARSH, MD 21162-1717
(410) 335-0008
(410) 335-1133
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D0014121
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145583300
DEPARTMENT OF LABOR (DOL)
—
01
—
204653
MEDICARE
MD
01
—
7904PL
CAREFIRST MARYLAND
MD
01
—
W167 0001
CAREFIRST DC
DC
Enumeration date
08/27/2007
Last updated
03/25/2011
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