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Organization

FAIRVIEW URO CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOSEPHINE M CRISOSTOMO (BUSINESS MANAGER)
(301) 645-7735
Entity
Organization

Contact information

Practice address
4225 ALTAMONT PL, SUITE A&B, WHITE PLAINS, MD 20695-3063
(301) 843-2755
(301) 843-2215
Mailing address
4225 ALTAMONT PL, SUITE A&B, WHITE PLAINS, MD 20695-3063
(301) 843-2755
(301) 843-2215

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
08/20/2007
Last updated
08/20/2007
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