The Adult & Pediatric Urology Grp of MD

NPI #1639370273 in Ellicott City, Maryland

Provider Information

NPI Number: 1639370273
Entity Type: Organization
Organization Name: The Adult & Pediatric Urology Grp of MD
Primary Specialty: Urology
Enumeration Date: May 30, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 9055 CHEVROLET DR
Address 2: SUITE 201
City: Ellicott City
State: Maryland
ZIP Code: 21042-4016
Phone: (410) 465-7533

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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