Organization · Type 2 NPI

Medstar Medical Group - Southern Maryland LLC

Surgery Physician · Waldorf, MD

NPI number 1639019573 Active

Practice location

3261 Old Washington Rd 1012
Waldorf, MD 20602-3228

Fax (301) 645-3092

Mailing address

24035 Three Notch Rd
Hollywood, MD 20636-4871

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1639019573

Medstar Medical Group - Southern Maryland LLC's National Provider Identifier is 1639019573, issued on Mar 31, 2026. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Waldorf, MD. The record was last updated on May 11, 2026.