Organization · NPI-2

Anne Arundel Urological Surgery Center LLC

Clinic/Center, Ambulatory Surgical · Annapolis, MD

NPI number1023199601
StatusActive
Last updated in NPPESMay 14, 2026

Details

NPI
1023199601
Entity type
Organization (NPI-2)
Legal business name
Anne Arundel Urological Surgery Center LLC
Organization subpart
No
Enumeration date
Oct 18, 2006
Certification date
May 14, 2026
Last updated
May 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory SurgicalA1235MDYes
261QL0400X Clinic/Center, LithotripsyA1235MD

Practice location

600 Ridgely Ave Ste 130
Annapolis, MD 21401-1045

Phone 410-266-8049 · Fax 410-266-8054

Mailing address

600 Ridgely Ave Ste 130
Annapolis, MD 21401-1045

Phone 410-266-8049 · Fax 410-266-8054

Authorized official

Mara Holton
Ceo/President
4102668049

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