Organization
UNIVERSITY OF MARYLAND NEUROSURGERY ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN PETTIT (REIMBURSEMENT OPS CREDENTIALING SPE)
(667) 214-1353
Entity
Organization
Contact information
Practice address
9300 LOTTSFORD RD, LARGO, MD 20774-4886
(410) 328-8209
(410) 328-1413
Mailing address
PO BOX 64315, BALTIMORE, MD 21264-4315
(410) 328-8209
(410) 328-1413
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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