University Of Maryland Surgical Associates, PA
Specialist in Baltimore, MD. Organization (NPI-2).
NPI number1962417634
StatusActive
Last updated in NPPESMay 9, 2023
Details
- NPI
- 1962417634
- Entity type
- Organization (NPI-2)
- Legal business name
- University Of Maryland Surgical Associates, PA
- Organization subpart
- No
- Enumeration date
- Jul 30, 2006
- Certification date
- May 9, 2023
- Last updated
- May 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
419 W Redwood StBaltimore, MD 21201-1734
Phone 667-214-1718 · Fax 410-328-5147
Mailing address
Po Box 64226Baltimore, MD 21264-4226
Phone 410-328-5191 · Fax 410-328-2109
Authorized official
Christine Lynn Lau
Department Chairman
4103286019
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