| NPI | 1689749350 |
|---|---|
| Doing Business As | COLUMBIA UROLOGICAL SURGERY CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH KISHEL Medical Director 410-997-5422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1142) |
| Additional Taxonomies | 261QL0400X (Licence: MD A1142) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-03-05 |