Healthcare Provider Details

I. General information

NPI: 1285584482
Provider Name (Legal Business Name): UNIVERSITY OF MARYLAND NEUROSURGERY ASSOCIATES P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 HEALTHCARE WAY
UPPER MARLBORO MD
20774-5484
US

IV. Provider business mailing address

5408 KNELL AVE
BALTIMORE MD
21206-4336
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-6034
  • Fax: 410-328-0756
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: KAROL ZIMMERMAN
Title or Position: DIRECTOR
Credential:
Phone: 667-214-1620