Organization
MARYLAND UROLOGY SURGICENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SMYTH MD (PRESIDENT)
(410) 825-6310
Entity
Organization
Contact information
Practice address
5601 LOCH RAVEN BLVD, SUITE 307, BALTIMORE, MD 21239-2905
(410) 825-6310
Mailing address
PO BOX 631189, BALTIMORE, MD 21263-1189
(410) 933-4099
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1248
MD
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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