Laplata Ambulatory Urological Center, L.l.c.

NPI #1336310986 in La Plata, Maryland

Provider Information

NPI Number
1336310986
Entity Type
Organization
Organization Name
Laplata Ambulatory Urological Center, L.l.c.
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Mar 21, 2008
Last Updated
Mar 27, 2009

Practice Location

Address
101 CENTENNIAL ST
Address 2
SUITE E
ZIP Code
20646-5975
Phone
(301) 392-0525

Authorized Official

Name
DR. VLADIMIR KAKITELSHVILI, M.D.
Title
DIRECTOR
Phone
(301) 392-0525

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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