Provider Demographics
NPI:1841468782
Name:GARWYN UROLOGICAL CENTER
Entity type:Organization
Organization Name:GARWYN UROLOGICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:I
Authorized Official - Last Name:OPARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-566-6665
Mailing Address - Street 1:2300 GARRISON BLVD
Mailing Address - Street 2:107 GARWYN UROLOGICAL CENTER
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216-2397
Mailing Address - Country:US
Mailing Address - Phone:410-566-6665
Mailing Address - Fax:410-566-1365
Practice Address - Street 1:2300 GARRISON BLVD
Practice Address - Street 2:107 GARWYN UROLOGICAL CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-2397
Practice Address - Country:US
Practice Address - Phone:410-566-6665
Practice Address - Fax:410-566-1365
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BENJAMIN I OPARA MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0022929261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical