Healthcare Provider Details

I. General information

NPI: 1881878700
Provider Name (Legal Business Name): ANDREW MROWIEC MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2007
Last Update Date: 02/19/2020
Certification Date: 02/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 ABERDEEN AVE
ABERDEEN MD
21001-3817
US

IV. Provider business mailing address

9 ABERDEEN AVE
ABERDEEN MD
21001-3817
US

V. Phone/Fax

Practice location:
  • Phone: 410-272-8844
  • Fax: 410-272-8910
Mailing address:
  • Phone: 410-272-8844
  • Fax: 410-272-8910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW MROWIEC
Title or Position: OWNER
Credential:
Phone: 410-272-8844