Provider Demographics
NPI:1043415789
Name:SPILLANE, ANNE PATRICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:PATRICIA
Last Name:SPILLANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:314 FRANKLIN AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-1215
Mailing Address - Country:US
Mailing Address - Phone:410-641-2222
Mailing Address - Fax:844-715-9464
Practice Address - Street 1:314 FRANKLIN AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1215
Practice Address - Country:US
Practice Address - Phone:410-641-2222
Practice Address - Fax:844-715-9464
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101244863207N00000X
MDD77702207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology