Organization · Type 2 NPI

University of Maryland Surgical Associates, PA

Plastic and Reconstructive Surgery Physician · Waldorf, MD

NPI number 1700740982 Active

Practice location

3450 Old Washington Rd Ste 202
Waldorf, MD 20602-3250

Fax (410) 328-5147

Mailing address

29 S Greene St Ste 502
Baltimore, MD 21201-1504

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

10 other providers at this address

About NPI 1700740982

University of Maryland Surgical Associates, PA's National Provider Identifier is 1700740982, issued on Dec 12, 2025. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Waldorf, MD. The record was last updated on Dec 12, 2025.