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THE ADULT & PEDIATRIC UROLOGY GRP OF MD NPI 1639370273


NPI Information

NPI: 1639370273
Provider Name: THE ADULT & PEDIATRIC UROLOGY GRP OF MD
Classification: Urology - 208800000X
Entity Type: Organization
Address:
9055 CHEVROLET DR
SUITE 201
ELLICOTT CITY, MD
ZIP 21042
Phone: (410) 465-7533
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THE ADULT & PEDIATRIC UROLOGY GRP OF MD is an urology in Ellicott City, 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. THE ADULT & PEDIATRIC UROLOGY GRP OF MD NPI is 1639370273. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9055 CHEVROLET DR
SUITE 201
ELLICOTT CITY, MD
ZIP 21042-016
Phone: (410) 465-7533

The provider's authorized official is Bridget Mastrounni .
The authorized official title is Administrator and has the following contact phone number (410) 646-0330.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 8/22/2020.


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
1208800000XUrologyMARYLANDYes

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: 4/28/2024

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