Healthcare Provider Details

I. General information

NPI: 1922114743
Provider Name (Legal Business Name): ALLAWAY & PAROUSIS UROLOGY MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12234 WILLIAMS ROAD
CUMBERLAND MD
21502
US

IV. Provider business mailing address

12234 WILLIAMS ROAD
CUMBERLAND MD
21502
US

V. Phone/Fax

Practice location:
  • Phone: 301-724-0132
  • Fax: 301-759-5874
Mailing address:
  • Phone: 301-724-0132
  • Fax: 301-759-5874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW JAMES ALLOWAY
Title or Position: ADMINISTRATOR
Credential: DO
Phone: 301-724-0132