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Organization

COLUMBIA UROLOGICAL SURGICAL CENTER, L.L.C.

Active
Parent organization
CENTRAL MARYLAND UROLOGY ASSOCIATES
Other names
Columbia Urological Surgery Center, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTRAL MARYLAND UROLOGY ASSOCIATES
Authorized official
DR. JOHN JOSEPH KISHEL M.D. (MEDICAL DIRECTOR)
(410) 997-5422
Entity
Organization

Contact information

Practice address
11085 LITTLE PATUXENT PKWY, SUITE 204, COLUMBIA, MD 21044-2983
(410) 997-5422
(410) 997-4359
Mailing address
11085 LITTLE PATUXENT PKWY, SUITE 207, COLUMBIA, MD 21044-2983
(410) 997-5422
(410) 997-4359

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1142
MD
261QL0400X
Lithotripsy Clinic/Center
A1142
MD

Other

Enumeration date
11/21/2006
Last updated
03/05/2008
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