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St Paul Place Specialists, Inc. — NPI 1902771249, Annapolis, MD | NPI Central

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NPI 1902771249

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St Paul Place Specialists, Inc.

NPI 1902771249 · Plastic and Reconstructive Surgery Physician · Annapolis, MD

Provider details

NPI number: 1902771249
Entity type: Organization
Primary specialty: Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Justin Deibel, Executive Vice President/Cfo(410) 659-2905

Specialties & taxonomies

Plastic and Reconstructive Surgery PhysicianPrimary2086S0122X
Allopathic & Osteopathic Physicians
Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers

Practice location

130 Admiral Cochrane Dr

Annapolis, MD 21401-7368

Phone: (410) 332-9000

Approximate (ZIP-level) locationGet directions

More MD providers

Mailing address

301 St Paul Place

Baltimore, MD 21202-2102

Other names (DBA / former)

Other name: Spps Annapolis Admiral Cochrane

Registry dates

Enumerated: 2025-10-07
Last updated: 2025-10-07
Certified: 2025-10-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.