Provider Demographics
NPI:1881878700
Name:ANDREW MROWIEC MD LLC
Entity type:Organization
Organization Name:ANDREW MROWIEC MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:MROWIEC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-272-8844
Mailing Address - Street 1:9 ABERDEEN AVE
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-3817
Mailing Address - Country:US
Mailing Address - Phone:410-272-8844
Mailing Address - Fax:410-272-8910
Practice Address - Street 1:9 ABERDEEN AVE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-3817
Practice Address - Country:US
Practice Address - Phone:410-272-8844
Practice Address - Fax:410-272-8910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0M56AOtherBLUE CROSS
MD520700200Medicaid
MDG31800Medicare UPIN
MD974MMedicare PIN