institution
The Adult & Pediatric Urology Surgery Center Llc
Ambulatory Surgical Clinic/Center in Baltimore, Maryland
NPI 1396897351

The Adult & Pediatric Urology Surgery Center Llc is an Ambulatory Surgical Clinic/Center based in Baltimore, MD and is specialized in Ambulatory Surgical. The Adult & Pediatric Urology Surgery Center Llc practices in Baltimore, MD. The NPI Number for The Adult & Pediatric Urology Surgery Center Llc is 1396897351 and holds a License No. A1408 (Maryland).

The current practice location address for The Adult & Pediatric Urology Surgery Center Llc is 3455 Wilkens Ave, Baltimore, MD and can be reached out via phone at 410-646-0330 and via fax at 410-644-6182.

Location: 3455 Wilkens Ave, Baltimore, MD, 21229-5213
institution
Provider Profile Details
NPI Number
1396897351
Provider Name
The Adult & Pediatric Urology Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
3455 Wilkens Ave, Baltimore, MD, 21229-5213
Phone Number
410-646-0330
Fax Number
410-644-6182
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2139146 01 MD MAMSI PROVIDER NUMBER
RT9 01 MD BLUE CHOICE
RT9 01 MD BCBS FEDERAL PROV. NO.
408678300 05 MD
64491801 01 MD CAREFIRST OF MD
institution
Provider Business Practice Location Address Details
Address
3455 Wilkens Ave
City
State
Zip
21229-5213
Phone Number
410-646-0330
Fax Number
410-644-6182
person
Provider Business Mailing Address Details
Address
3455 Wilkens Ave
City
State
Zip
21229-5213
Phone Number
410-646-0330
Fax Number
410-644-6182
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
A1408 (Maryland)
Definition
Definition to come...
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