Organization
MARYLAND SPECIALTY GROUP LLC
Active
Other names
ULTIMA CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI NWAGWE (BILLING MANAGER)
(301) 552-9495
Entity
Organization
Contact information
Practice address
12200 ANNAPOLIS RD, STE 123, GLENN DALE, MD 20769-9182
(301) 552-9495
(301) 552-9743
Mailing address
PO BOX 2056, BOWIE, MD 20718-2056
(301) 552-9495
(301) 552-9743
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
MD
2086S0129X
Vascular Surgery Physician
Primary
—
MD
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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