Healthcare Provider Details

I. General information

NPI: 1932146628
Provider Name (Legal Business Name): WILLIAM CHRISTOPHER URBAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 01/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S CRAIN HIGHWAY SUITE 401
GLEN BURNIE MD
21061
US

IV. Provider business mailing address

1300 RITCHIE HIGHWAY SUITE A
ARNOLD MD
21012
US

V. Phone/Fax

Practice location:
  • Phone: 410-768-5050
  • Fax: 410-768-7830
Mailing address:
  • Phone: 410-544-6038
  • Fax: 410-349-9940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD0061076
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: