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BOSTON MEDICAL GROUP- MARYLAND P.C. NPI 1083032445


NPI Information

NPI: 1083032445
Provider Name: BOSTON MEDICAL GROUP- MARYLAND, P.C.
Classification: Urology - 208800000X
Entity Type: Organization
Address:
5500 KNOLL DRIVE
SUITE 220
COLUMBIA, MD
ZIP 21045
Phone: (443) 542-9241
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BOSTON MEDICAL GROUP- MARYLAND, P.C. is an urology in Columbia, MD. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. BOSTON MEDICAL GROUP- MARYLAND, P.C. NPI is 1083032445. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5500 KNOLL DRIVE
SUITE 220
COLUMBIA, MD
ZIP 21045
Phone: (443) 542-9241
Fax: (443) 542-9442

The provider's authorized official is Tom L. Le .
The authorized official title is Medical Director and has the following contact phone number (818) 808-2828.

The enumeration date for this NPI number is 4/2/2014 and was last updated on 4/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologySOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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