Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anne Arundel Dermatology, PA

Organization Specialist · NPI 1477372936

Anne Arundel Dermatology, PA is a Specialist in Fairfax, Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11351 Random Hills Rd Ste 200
Fairfax, VA 22030-6081
Phone: (443) 351-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Specialist Taxonomy 174400000X

Record details

NPI number1477372936
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAnne Arundel Dermatology, PA
Authorized official Angela Peterman — Md · (443) 351-3376
Other names Anne Arundel Dermatology, Pa
NPI enumeratedOctober 10, 2024
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address1306 Concourse Dr Ste 201, Linthicum Heights, MD 21090-1033

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