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

Medstar Medical Group - Southern Maryland LLC

Organization Surgery Physician · NPI 1639019573

Medstar Medical Group - Southern Maryland LLC is a Surgery Physician in Waldorf, Maryland. Registered with an NPI since 2026.

In the registry since
2026
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

3261 Old Washington Rd 1012
Waldorf, MD 20602-3228
Phone: (301) 843-9060
Fax: (301) 645-3092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1639019573
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Buster — Coo · (301) 373-7905
NPI enumeratedMarch 31, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address24035 Three Notch Rd, Hollywood, MD 20636-4871

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