The Adult & Pediatric Urology Grp of MD

NPI #1023210267 in Ellicott City, Maryland

Provider Information

NPI Number: 1023210267
Entity Type: Organization
Organization Name: The Adult & Pediatric Urology Grp of MD
Primary Specialty: Urology
Enumeration Date: Jun 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4801 DORSEY HALL DR
Address 2: SUITE 201
City: Ellicott City
State: Maryland
ZIP Code: 21042-7766
Phone: (410) 646-0330

Authorized Official

Name: BRIDGET MASTROUNNI
Title: ADMINISTRATOR
Phone: (410) 646-0330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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Organizations

Provider Name	Specialty	City
The Adult & Pediatric Urology Grp of MD	Urology	Ellicott City	AI Deep Dive

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