| Organization Name: | ANNE ARUNDEL UROLOGICAL SURGERY CENTER LLC |
| NPI Number: | 1023199601 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN OROSS (ADMINISTRATOR) |
| Mailing Address: | 600 Ridgely Ave Suite 223 Annapolis |
| State: | MD US |
| Postal Code: | 214011001 |
| Phone Number: | 4102668049 |
| Fax Number: | 4102668054 |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 03/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QL0400X |
| License Number: | A1235 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Lithotripsy |
| Taxonomy Definition: | |