Organization
UROLOGY ASSOCIATES ASC
Active
Organization
UROLOGY ASSOCIATES ASC
Active
Other names
William Becker Ambulatory Surgical Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JAMES ALLAWAY DO (ADMINISTRATOR/PRESIDENT)
(301) 724-0132
Entity
Organization
Contact information
Practice address
902 SETON DRIVE, STE #307, CUMBERLAND, MD 21502
(301) 724-0132
(301) 759-5874
Mailing address
902 SETON DRIVE, STE #307, CUMBERLAND, MD 21502
(301) 724-0132
(301) 759-5874
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A1262
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001751000
—
WV
05
—
409255400
—
MD
Enumeration date
08/23/2006
Last updated
04/20/2010
Update your record
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