Organization
UNIVERSITY OF MARYLAND SURGCIAL ASSOC PA
Active
Other names
University of Maryland Urological Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA REGULA (ASSOCIATE ADMINISTRATOR)
(410) 328-2657
Entity
Organization
Contact information
Practice address
419 W REDWOOD ST, SUITE 310, BALTIMORE, MD 21201-1734
(410) 328-4080
(410) 328-2109
Mailing address
PO BOX 64226, BALTIMORE, MD 21264-4226
(410) 328-4080
(410) 328-2109
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HM1171
FREESTATE GRP NUMBER
MD
Enumeration date
08/09/2006
Last updated
02/14/2023
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