OrganizationActive
Maryland Specialty Group LLC
NPI 1114362845 · Vascular Surgery Physician · Glenn Dale, MD
Provider details
- NPI number
- 1114362845
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Naomi Nwagwe, Billing Manager(301) 552-9495
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Practice location
12200 Annapolis Rd
Ste 123
Glenn Dale, MD 20769-9182
Phone: (301) 552-9495
Fax: (301) 552-9743
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2056
Bowie, MD 20718-2056
Other names (DBA / former)
- Former legal business name
- Ultima Care LLC
Registry dates
- Enumerated
- 2013-05-08
- Last updated
- 2013-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.