Organization
GARWYN UROLOGICAL CENTER
Active
Other names
BENJAMIN OPARA MD
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN OPARA (OWNER)
(410) 566-6665
Entity
Organization
Contact information
Practice address
2300 GARRISON BLVD, STE 107, BALTIMORE, MD 21216-2335
(410) 566-6665
(410) 566-1365
Mailing address
2300 GARRISON BLVD, STE 107, BALTIMORE, MD 21216-2335
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
D0022929
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133142
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/03/2006
Last updated
08/22/2020
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