FREDERICK UROSURGICAL CENTER LLC NPI 1285961383

NPI Information

FREDERICK UROSURGICAL CENTER LLC is an ambulatory surgical clinic center in Frederick, MD. FREDERICK UROSURGICAL CENTER LLC NPI is 1285961383. The provider is registered as an organization entity type.

The provider's business location address is:

110 BAUGHMANS LN
SUITE 201
FREDERICK, MD
ZIP 21702-059
Phone: (301) 694-8080
Fax: (301) 694-8089

The provider's authorized official is Mohammed M Mohiuddin .
The authorized official title is Owner and has the following contact phone number (301) 694-8080.

The CLIA number assigned to this NPI record is 21D0909092 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/10/2009 and was last updated on 11/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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