OrganizationActive
University of Maryland Surgical Associates, PA
NPI 1114864345 · Pediatric Surgery Physician · Queenstown, MD
Provider details
- NPI number
- 1114864345
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vanenia Crowder, Office Manager(667) 214-1734
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
125 Shoreway Dr
Queenstown, MD 21658-1680
Phone: (667) 214-1718
Fax: (410) 328-5147
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 64226
Baltimore, MD 21264-4226
Other names (DBA / former)
- Doing business as
- Office Shore Health Pavillion-Pediatric Surgery
Registry dates
- Enumerated
- 2026-05-04
- Last updated
- 2026-05-04
- Certified
- 2026-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.