Individual
DR. GEORGE J MAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3407 WILKENS AVE STE 2010, BALTIMORE, MD 21229-5072
(410) 664-0929
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0036523
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900383
AMERICHOICE PROV. NO.
MD
05
—
192011100
—
MD
01
—
20679012
UNITED HEALTHCARE
MD
01
—
52581804
CAREFIRST OF MD PROV. NO.
MD
01
—
614797
MAMSI PROVIDER NUMBER
MD
01
—
E6120002
BCBS FEDERAL PROVIDER NO.
MD
Enumeration date
01/17/2007
Last updated
03/12/2025
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