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

Surgical Associates Chartered

Organization Surgery Physician · NPI 1508355470

Surgical Associates Chartered is a Surgery Physician in Waldorf, Maryland. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
4

Practice location Address checks out

11370 Pembrooke Sq
Waldorf, MD 20603-4842
Phone: (240) 427-1620
Fax: (301) 645-8663
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X
Surgery Physician Taxonomy 208600000X
General Practice Physician Taxonomy 208D00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X

Record details

NPI number1508355470
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSurgical Associates Chartered
Authorized official Rita Grover — Authorized Official · (240) 427-1630
NPI enumeratedMay 7, 2018
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address5801 Allentown Rd Ste 502, Camp Springs, MD 20746-4653

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