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

Pembrooke Square ENT Associates, LLC

Organization Otolaryngology Physician · NPI 1336321462

Pembrooke Square ENT Associates, LLC is an Otolaryngology Physician in Waldorf, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
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

11355 Pembrooke Sq Ste 108
Waldorf, MD 20603-4805
Phone: (301) 645-4419
Fax: (301) 645-7006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence D0020369 (MD)

Record details

NPI number1336321462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Mason — Owner · (301) 645-4419
NPI enumeratedNovember 30, 2007
Last updated in NPPESNovember 30, 2007
Mailing address11355 Pembrooke Sq Ste 108, Waldorf, MD 20603-4805

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