MARYLAND PHYSICIANS EDGE LLC NPI 1790639748

NPI Information

  • NPI: 1790639748
  • Provider Name: MARYLAND PHYSICIANS EDGE LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 555 QUINCE ORCHARD RD STE 410
    GAITHERSBURG, MD
    ZIP 20878
  • Phone: (301) 414-2300

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NPI Details

MARYLAND PHYSICIANS EDGE LLC is an obstetrics gynecology in Gaithersburg, MD. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MARYLAND PHYSICIANS EDGE LLC NPI is 1790639748. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

555 QUINCE ORCHARD RD STE 410
GAITHERSBURG, MD
ZIP 20878-479
Phone: (301) 414-2300

The provider's authorized official is Tracey M Moran .
The authorized official title is Practice Manager and has the following contact phone number (301) 681-6772.

The enumeration date for this NPI number is 2/25/2026 and was last updated on 2/25/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerNo
21041C0700XSocial WorkerClinicalNo
3171M00000XCase Manager/Care CoordinatorNo
4176B00000XMidwifeNo
5207VG0400XObstetrics & GynecologyGynecologyNo
6207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
7207VX0201XObstetrics & GynecologyGynecologic OncologyNo
82085R0202XRadiologyDiagnostic RadiologyNo
9363A00000XPhysician AssistantNo
10363LF0000XNurse PractitionerFamilyNo
11363LW0102XNurse PractitionerWomen's HealthNo
12367A00000XAdvanced Practice MidwifeNo
13207V00000XObstetrics & GynecologyYes

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: 11/21/2025

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