NPI | 1215504154 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA RUTH PETERMAN President/Owner 410-766-0111 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
207NP0225X Dermatology, Pediatric Dermatology | |
207NS0135X Dermatology, Procedural Dermatology | |
207ND0101X Dermatology, MOHS-Micrographic Surgery | |
Enumeration Date | 2021-06-09 |
Last Update Date | 2022-04-21 |