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Frederick Urosurgical Center LLC

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

NPI number1285961383
StatusActive
Last updated in NPPESNov 10, 2009

Details

NPI
1285961383
Entity type
Organization (NPI-2)
Legal business name
Frederick Urosurgical Center LLC
Organization subpart
No
Enumeration date
Nov 10, 2009
Last updated
Nov 10, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical–MDYes

Practice location

110 Baughmans Ln
Suite 201
Frederick, MD 21702-4059

Phone 301-694-8080 · Fax 301-694-8089

Mailing address

110 Baughmans Ln
Suite 201
Frederick, MD 21702-4059

Phone 301-694-8080 · Fax 301-694-8089

Authorized official

Mohammed M Mohiuddin
Owner
3016948080

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