Individual
ETHAN A URBANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
20410 CENTURY BLVD, MEDSTAR NRH REHAB NETWORK - #215, GERMANTOWN, MD 20874-1186
(301) 540-6130
(301) 540-5190
Mailing address
74 THOMAS JOHNSON DR, FREDERICK, MD 21702-4501
(301) 540-6130
(301) 540-5190
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
A0000250
MD
363A00000X
Physician Assistant
Primary
C0010009
MD
Other
Enumeration date
09/12/2013
Last updated
05/27/2026
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