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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARYANNA C TER POORTEN, MD

Active

MARYANNA C TER POORTEN, MD is a Procedural Dermatology healthcare provider located in CONCORD, North Carolina. NPI 1477539724 is currently active in the NPPES registry. Verify at CMS.

Procedural Dermatology · CONCORD, NC

Registration Details

NPI Number
1477539724
Provider Type
Individual
Gender
Female
NPI Issued
Dec 19, 2005 (20.662727603883 yrs)
Last Updated
Feb 12, 2009
License
2003-00893 (NC)

Practice Information

Address
335 PENNY LN
CONCORD, NC, 280251221
Browse NC providers · Browse ZIP 28025
Phone
7047845901
Fax
7047210413
Primary Specialty
Procedural Dermatology
207NS0135X

Other Procedural Dermatology Providers in CONCORD, NC

Name Credential NPI
WILLIAM T SUMNER MD 1871579110
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.