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

Organization Surgery Physician · NPI 1548406960

Surgical Associates, Chartered is a Surgery Physician in Waldorf, Maryland. Licensed in Maryland. Registered with an NPI since 2009.

Licensed in
MD
In the registry since
2009
Specialties on file
6
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Practice location Address checks out

12070 Old Line Ctr Ste 306
Waldorf, MD 20602-2513
Phone: (301) 868-8485
Fax: (301) 868-0638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence D24644 (MD)
Surgery Physician Taxonomy 208600000X · Licence H0061922 (MD)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence D0059944 (MD)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence D26021 (MD)
Physician Assistant Taxonomy 363A00000X · Licence C0003134 (MD)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence R119098 (MD)

Record details

NPI number1548406960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Burton — Credentialing/Contracts Manager · (301) 868-8485
NPI enumeratedJanuary 7, 2009
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address7501 Surratts Rd, Suite 303, Clinton, MD 20735-3362

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