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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
1208800000XUrology Physician

General Provider Information

NPI Number : 1861320236
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
Provider Business Mailing Address
First Line : PO BOX 64226
Second Line :
City : BALTIMORE
State : MD
Zip : 21264-4226
Country : US
Telephone Number : 667-214-1734
Fax Number : 410-706-6976
Provider Business Practice Location Address
First Line : 5900 WATERLOO RD
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2639
Country : US
Telephone Number : 410-328-5544
Fax Number : 410-328-5147
Authorized Official
Title or Position : OFFICE MANAGER
Name : VANENIA CROWDER
Credential :
Telephone Number : 667-214-1734
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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1134057508 — UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
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Practice Fax: 410-328-5147

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

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