Urologic Surgery, PC
Urology in Bala Cynwyd, PA. Organization (NPI-2).
NPI number1619972965
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1619972965
- Entity type
- Organization (NPI-2)
- Legal business name
- Urologic Surgery, PC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | OS003582L | PA | Yes |
Practice location
301 E City AveSte 210
Bala Cynwyd, PA 19004-1734
Phone 610-667-3020 · Fax 610-667-1817
Mailing address
301 E City AveSte 210
Bala Cynwyd, PA 19004-1734
Phone 610-667-3020 · Fax 610-667-1817
Authorized official
Nancy Miller
Offce Manager
6106673021
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