Organization
ADVANCED UROLOGY P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDERJIT SINGH (MD)
(703) 494-0334
Entity
Organization
Contact information
Practice address
14904 JEFFERSON DAVIS HWY, SUITE 207, WOODBRIDGE, VA 22191-3908
(703) 494-0334
(703) 494-5785
Mailing address
14904 JEFFERSON DAVIS HWY, SUITE 207, WOODBRIDGE, VA 22191-3908
(703) 494-0334
(703) 494-5785
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0101048096
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007544189
—
VA
Enumeration date
12/15/2009
Last updated
12/15/2009
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