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NPI Code Detail

MEDICARE: UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA

MEDICARE: UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0120XPediatric Surgery Physician

General Provider Information

NPI Number : 1518820067
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
Provider Business Mailing Address
First Line : 29 S GREENE ST STE 502
Second Line :
City : BALTIMORE
State : MD
Zip : 21201-1504
Country : US
Telephone Number : 667-214-1734
Fax Number : 410-706-6976
Provider Business Practice Location Address
First Line : 1609 E JOPPA RD
Second Line :
City : TOWSON
State : MD
Zip : 21286-2122
Country : US
Telephone Number : 667-214-1718
Fax Number : 410-328-5147
Authorized Official
Title or Position : OFFICE MANAGER
Name : VANENIA CROWDER
Credential :
Telephone Number : 667-214-1734
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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1306709860 — UNIVERSITY OF MARYLAND SURGCIAL ASSOC PA
Practice Location Address:
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Practice Phone: 667-214-1718
Practice Fax: 410-328-5147

Directions to “UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA ” Practice Location

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