Individual
PETER SCOTT ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6141 MASSEY CROSSING RD, WILLARDS, MD 21874-1174
(410) 835-2356
Mailing address
6141 MASSEY CROSSING RD, WILLARDS, MD 21874-1174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0030619
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000241001
—
DE
01
—
1184832040
GROUP NPI
MD
05
—
380091100
—
MD
05
—
K230S443
—
MD
Enumeration date
07/14/2005
Last updated
06/13/2014
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