Basic Information
| Provider Information | |||||||||
| NPI: | 1568508273 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CHIARMAMONTE HUISMAN ZORN UROLOGY LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7501 SURRATTS RD STE 308 | ||||||||
| Address2: | |||||||||
| City: | CLINTON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207353377 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018680202 | ||||||||
| FaxNumber: | 3018682331 | ||||||||
| Practice Location | |||||||||
| Address1: | 7501 SURRATTS RD STE 308 | ||||||||
| Address2: | |||||||||
| City: | CLINTON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207353362 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018680202 | ||||||||
| FaxNumber: | 3018682331 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/29/2007 | ||||||||
| LastUpdateDate: | 07/17/2008 | ||||||||
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| AuthorizedOfficialLastName: | HUISMAN | ||||||||
| AuthorizedOfficialFirstName: | THOMAS | ||||||||
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| AuthorizedOfficialTitleorPosition: | DOCTOR | ||||||||
| AuthorizedOfficialTelephone: | 3016457735 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Urology |
No ID Information.