Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Medstar Medical Group - Southern Maryland LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1730571118

Medstar Medical Group - Southern Maryland LLC is an Ambulatory Surgical Clinic/Center in Waldorf, Maryland. Works from 3 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2015
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

10 St Patrick's Dr
Waldorf, MD 20603-4527
Phone: (301) 373-7900
Fax: (301) 373-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 24035 Three Notch Road, Hollywood, MD 20636-4871 — (301) 373-7900
  • 130 Hospital Road, Prince Frederick, MD 20678-4015 — (410) 535-4333

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence A1234 (MD)

Record details

NPI number1730571118
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Wagner — Executive Vice President · (410) 772-6595
NPI enumeratedFebruary 23, 2015
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address24035 Three Notch Rd, Hollywood, MD 20636-4871

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