Organization
AMBULATORY UROLOGY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY SUE FOLMER (BILLING MGR.)
(301) 724-0132
Entity
Organization
Contact information
Practice address
12234 WILLIAMS RD, CUMBERLAND, MD 21502
(301) 724-0132
(301) 759-5874
Mailing address
PO BOX 419, 12234 WILLIAMS ROAD, CUMBERLAND, MD 21501-0419
(301) 724-0132
(301) 759-5874
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/09/2009
Last updated
12/04/2009
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