OrganizationActive
Boston Medical Group- Maryland, P.C.
NPI 1083032445 · Urology Physician · Columbia, MD
Provider details
- NPI number
- 1083032445
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tom Le, Medical Director(818) 808-2828
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5500 Knoll Drive
Suite 220
Columbia, MD 21045
Phone: (443) 542-9241
Fax: (443) 542-9442
Approximate (ZIP-level) locationGet directions
Mailing address
5500 Knoll Drive
Columbia, MD 21045
Registry dates
- Enumerated
- 2014-04-02
- Last updated
- 2014-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.