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Anne Arundel Urology, PA

Urology in Greenbelt, MD. Organization (NPI-2).

NPI number1104697366
StatusActive
Last updated in NPPESJul 8, 2026

Details

NPI
1104697366
Entity type
Organization (NPI-2)
Legal business name
Anne Arundel Urology, PA
Organization subpart
No
Enumeration date
Jan 15, 2024
Certification date
Jul 8, 2026
Last updated
Jul 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology––Yes
332900000X Non-Pharmacy Dispensing Site––

Practice location

7855 Walker Dr Ste 100
Greenbelt, MD 20770-3293

Phone 410-266-8049

Mailing address

7855 Walker Dr Ste 100
Greenbelt, MD 20770-3293

Phone 410-266-8049

Authorized official

Mara Holton
Ceo/President
4102668049

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