1. Home
  2. Directory
  3. Maryland
  4. Havre De Grace
  5. Specialist
  6. NPI Profile

ANNE ARUNDEL DERMATOLOGY, P.A.
NPI 1386474005
Specialist in Havre De Grace, MD

Active since August 06, 2024
930 REVOLUTION ST, HAVRE DE GRACE, MD 21078(410) 939-0961(410) 939-7832 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anne Arundel Dermatology, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNE ARUNDEL DERMATOLOGY, P.A. (NPI 1386474005) is a healthcare organization registered as a specialist in Havre De Grace, Maryland and active in the NPI registry since August 2024. The organization lists Angela Ruth Peterman, Md, as its authorized official.

NPPES Registry Identity

NPI1386474005
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameANNE ARUNDEL DERMATOLOGY, P.A.
Location Address930 REVOLUTION STHavre De Grace, MD 21078-3718
Mailing Address1306 Concourse Dr Ste 201Linthicum Heights, MD 21090-1033
Phone(410) 939-0961
Fax(410) 939-7832
Organization SubpartYes
Authorized OfficialAngela Ruth PetermanMd · (443) 351-3376
Enumeration DateAugust 6, 2024
Last NPPES UpdateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1386474005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
930 REVOLUTION ST, Havre De Grace, MD 21078
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERRI MCDONALD PA-C
Physician Assistant
930 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Harford County (410) 939-0961
JENIFER ABBOTT PA-C
Physician Assistant
930 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Harford County (410) 939-0961
DAVID FRANKLIN JAFFE MD
Dermatology
930 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Harford County (410) 939-0961
TAYLOR ERIN CANEPA PA-C
Physician Assistant
930 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Harford County (410) 939-0961
RACHEL NEUMOYER CRNP
Nurse Practitioner
930 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Harford County (443) 351-3376
CHRISTINA ELENA CLARKE MD
Dermatology
930 REVOLUTION ST
HAVRE DE GRACE, MD 21078
Harford County (443) 351-3376

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anne Arundel Dermatology, P.A.'s NPI number?

The NPI number for Anne Arundel Dermatology, P.A. is 1386474005. It was assigned to this organization in the NPPES registry on August 6, 2024.

Where is Anne Arundel Dermatology, P.A. located?

Anne Arundel Dermatology, P.A. is located at 930 Revolution St, Havre De Grace, MD 21078. The listed phone number is (410) 939-0961.

What is Anne Arundel Dermatology, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Anne Arundel Dermatology, P.A. was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.