Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryland Specialty Group LLC

Organization Internal Medicine Physician · NPI 1023157781

Maryland Specialty Group LLC is an Internal Medicine Physician in Glenn Dale, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12200 Annapolis Rd Suite# 123
Glenn Dale, MD 20769-9182
Phone: (301) 552-9495
Fax: (301) 552-9743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence D0040683 (MD)
Internal Medicine Physician Taxonomy 207R00000X · Licence D0040683 (MD)

Record details

NPI number1023157781
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Naomi Nwagwe — Billing/Business Manager · (301) 552-9495
Other names Ultima Care Llc
NPI enumeratedFebruary 6, 2007
Last updated in NPPESApril 10, 2013
Mailing address12200 Annapolis Rd, Suite# 123, Glenn Dale, MD 20769-9182

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