Organization
ADVANCED UROLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ANN MATTHEWS (BILLING MANANGER)
(410) 751-2363
Entity
Organization
Contact information
Practice address
193 STONER AVE, SUITE 310, WESTMINSTER, MD 21157-5587
(410) 751-2363
(410) 751-2338
Mailing address
193 STONER AVE, SUITE 310, WESTMINSTER, MD 21157-5587
(410) 751-2363
(410) 751-2338
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
786602000
—
MD
Enumeration date
03/07/2011
Last updated
03/08/2011
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