Organization · Type 2 NPI

Maryland Specialty Group LLC

Vascular Surgery Physician · Glenn Dale, MD

NPI number 1114362845 Active

Practice location

12200 Annapolis Rd, Ste 123
Glenn Dale, MD 20769-9182

Fax (301) 552-9743

Mailing address

PO Box 2056
Bowie, MD 20718-2056

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000XNone listed
Vascular Surgery Physician Primary 2086S0129XNone listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

26 other providers at this address

About NPI 1114362845

Maryland Specialty Group LLC's National Provider Identifier is 1114362845, issued on May 8, 2013. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Glenn Dale, MD. The record was last updated on May 8, 2013.