Organization · Type 2 NPI

University of Maryland Surgical Associates, PA

Pediatric Surgery Physician · Columbia, MD

NPI number 1790647113 Active

Practice location

5900 Waterloo Rd
Columbia, MD 21045-2639

Call (667) 214-1718 Map

Fax (410) 706-6976

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120XNone listed

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

33 other providers at this address

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About NPI 1790647113

University of Maryland Surgical Associates, PA's National Provider Identifier is 1790647113, issued on Nov 25, 2025. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Columbia, MD. The record was last updated on Nov 25, 2025.