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Organization

ANNE ARUNDEL UROLOGY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARA HOLTON (CEO/PRESIDENT)
(410) 266-8049
Entity
Organization

Contact information

Practice address
600 RIDGELY AVE STE 222&223, ANNAPOLIS, MD 21401-1001
(410) 266-8049
(410) 266-8054
Mailing address
600 RIDGELY AVE STE 130, ANNAPOLIS, MD 21401-1045
(410) 266-8049
(410) 266-8054

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
208800000X
Urology Physician
Primary
332900000X
Non-Pharmacy Dispensing Site

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
911641901
MD
Enumeration date
06/09/2005
Last updated
05/14/2026
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