OrganizationActive
Anne Arundel Dermatology, PA
NPI 1982549895 · MOHS-Micrographic Surgery Physician · Glen Burnie, MD
Provider details
- NPI number
- 1982549895
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Anne Arundel Dermatology, PA
- Organization subpart
- Yes
- Authorized official
- Nicole Proffitt, Dir of Credentialing Enrollment(804) 869-6269
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
810 Landmark Dr Ste 120-122
Glen Burnie, MD 21061-4987
Phone: (443) 351-3376
Fax: (410) 766-4177
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 23329
New York, NY 10087-3329
Registry dates
- Enumerated
- 2026-04-20
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.