Provider Demographics
NPI:1295875532
Name:CHIARAMONTE HUISMAN ZORN UROLOGY LLC
Entity type:Organization
Organization Name:CHIARAMONTE HUISMAN ZORN UROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HUISMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-645-7735
Mailing Address - Street 1:4225 ALTAMONT PL
Mailing Address - Street 2:101
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-3063
Mailing Address - Country:US
Mailing Address - Phone:301-645-8838
Mailing Address - Fax:301-645-9147
Practice Address - Street 1:4225 ALTAMONT PL
Practice Address - Street 2:101
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3063
Practice Address - Country:US
Practice Address - Phone:301-645-8838
Practice Address - Fax:301-645-9147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5164990001Medicare NSC
MD073NMedicare PIN