Fairview Uro Center Llc

NPI 1790978112 - Clinic/Center - 261QA1903X

NPI Details
NPI 1790978112
Enumeration Date 08/20/2007
Last Updated 08/20/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOSEPHINE M JOSEPHINE
Position BUSINESS MANAGER
Phone (301) 843-2755
Fax (301) 843-2215
Practice Location
4225 ALTAMONT PL
SUITE A&B
WHITE PLAINS MD, 20695-3063, US
Phone (301) 843-2755
Fax (301) 843-2215
Business Location
4225 ALTAMONT PL
SUITE A&B
WHITE PLAINS MD, 20695-3063, US
Phone (301) 843-2755
Fax (301) 843-2215
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Fairview Uro Center Llc NPI is 1790978112, taxonomy code is 261QA1903X Fairview Uro Center Llc physically located at 4225 Altamont Pl, White Plains MD, 20695-3063. NPI Number 1033115704 has the healthcare provider type.

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1790978112 NPI number is provided on an as is basis without warranty of any kind. 1790978112 is maintained by the National Plan & Provider Enumeration System. The contents of Fairview Uro Center Llc are for informational purposes only.