Organization · Type 2 NPI

Mid-Atlantic Ent, LLC

Otolaryngology Physician · Severna Park, MD

NPI number 1225880966 Active

Practice location

479 Jumpers Hole Rd Ste 304
Severna Park, MD 21146-1734

Fax (410) 573-5910

Mailing address

600 Ridgely Ave Ste 110
Annapolis, MD 21401-1082

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XNone listed
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007XNone listed
Otolaryngology/Facial Plastic Surgery Physician 207YX0905XNone listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

About NPI 1225880966

Mid-Atlantic Ent, LLC's National Provider Identifier is 1225880966, issued on Apr 4, 2024. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Severna Park, MD. The record was last updated on Jun 1, 2026.