Provider Demographics
NPI:1295768372
Name:PETERS, MARIA-JEORGA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA-JEORGA
Middle Name:
Last Name:PETERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2902 SEDGEFIELD CT
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-1364
Mailing Address - Country:US
Mailing Address - Phone:410-692-6640
Mailing Address - Fax:
Practice Address - Street 1:104 PLUMTREE RD
Practice Address - Street 2:SUITE 115
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6095
Practice Address - Country:US
Practice Address - Phone:410-515-4300
Practice Address - Fax:410-515-4318
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0045677207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
112496OtherCOVENTRY
2062333002OtherCIGNA
53285801OtherCAREFIRST MARYLAND
7277006OtherAETNA PPO
0019OtherCAREFIRST DC
1983827OtherUNITED HEALTHCARE
9964OtherKAISER
2328338OtherAETNA HMO
281944OtherMAMSI
MD93073Medicaid
039398OtherJOHNS HOPKINS HEALTHCARE
MD93073Medicaid
2062333002OtherCIGNA