| Organization Name: | ANNE ARUNDEL DERMATOLOGY, P.A. |
| NPI Number: | 1003980897 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELA R PETERMAN (DIRECTOR) |
| Mailing Address: | 703 Giddings Ave Suite M Annapolis |
| State: | MD US |
| Postal Code: | 214011411 |
| Phone Number: | 4102247795 |
| Fax Number: | 4102245826 |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | NEW FACILITY |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |