Provider Demographics
NPI:1932289436
Name:URBAN, GEORGE EDWARD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:EDWARD
Last Name:URBAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8116 GOOD LUCK RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3502
Mailing Address - Country:US
Mailing Address - Phone:301-552-5500
Mailing Address - Fax:301-552-6866
Practice Address - Street 1:5801 ALLENTOWN RD
Practice Address - Street 2:SUITE 209
Practice Address - City:CAMP SPRINGS
Practice Address - State:MD
Practice Address - Zip Code:20746-4563
Practice Address - Country:US
Practice Address - Phone:301-552-5500
Practice Address - Fax:301-552-6866
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2014-04-04
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Provider Licenses
StateLicense IDTaxonomies
MDD0012291207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD071180OtherPTAN 128715
MD071180OtherPTAN 128715
MD071180Medicare PIN