Adult & Pediatric Urology Group Of Maryland Llc

LBN: Adult & Pediatric Urology Group Of Maryland Llc
Adult & Pediatric Urology Group Of Maryland Llc is an health care organization with primary practice located at 3455 Wilkens Ave Suite 100, Baltimore MD 21229-5213. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Adult & Pediatric Urology Group Of Maryland Llc can be contacted via phone (410) 646-0330, or through Mastrounni, Bridget via phone (410) 646-0331.

Contact Information

Primary practice address
3455 Wilkens Ave Suite 100 Baltimore MD 21229-5213
Fax: (410) 644-6182
Website:
Authorized official contact:
Name: Mastrounni, Bridget

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1376681437
LBN Legal business name Adult & Pediatric Urology Group Of Maryland Llc
DBA Doing business as
Authorized official Mastrounni, Bridget
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Jan 14th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376681437 NPPES
Maryland Other E612 CAREFIRST FEDERAL ID
Maryland Other E612 CAREFIRST FEDERAL ID
Maryland Other 1507AD CAREFIRST FEDERAL ID
Maryland MEDICAID 033000100 CAREFIRST FEDERAL ID

Popular Providers