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Urological Consultants PA Ambulatory Surgery Center Asc

Clinic/Center, Ambulatory Surgical in Rockville, MD. Organization (NPI-2).

NPI number1154476372
StatusActive
Last updated in NPPESMar 15, 2010

Details

NPI
1154476372
Entity type
Organization (NPI-2)
Legal business name
Urological Consultants PA Ambulatory Surgery Center Asc
Organization subpart
No
Enumeration date
Jan 25, 2007
Last updated
Mar 15, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory SurgicalA1082MDYes

Other names

  • Ambulatory Urosurgical Center (Doing Business As)

Practice location

401 E Jefferson St Ste 105
Rockville, MD 20850-2617

Phone 301-309-8219 · Fax 301-309-9370

Mailing address

401 E Jefferson St Ste 105
Rockville, MD 20850-2617

Phone 301-309-8219 · Fax 301-309-9370

Authorized official

Mark Ratner
Director
3013098219

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