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Organization

ANNE ARUNDEL UROLOGY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARA HOLTON (CEO/PRESIDENT)
(410) 266-8049
Entity
Organization

Contact information

Practice address
4201 NORTHVIEW DR STE 201, BOWIE, MD 20716-2656
(410) 266-8049
(410) 266-8054
Mailing address
600 RIDGELY AVE STE 130, ANNAPOLIS, MD 21401-1045
(410) 266-8049
(410) 266-8054

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD
208800000X
Urology Physician
Primary
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1730365396
NPI
DC
Enumeration date
01/14/2008
Last updated
05/14/2026
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