| NPI | 1629279310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA RUTH PETERMAN Md 443-351-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PA MD074439L) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2024-04-23 |