Prospect Health Access Network, INC.
Urology in Drexel Hill, PA. Organization (NPI-2).
NPI number1982152294
StatusActive
Last updated in NPPESJan 15, 2021
Details
- NPI
- 1982152294
- Entity type
- Organization (NPI-2)
- Legal business name
- Prospect Health Access Network, INC.
- Organization subpart
- No
- Enumeration date
- Sep 15, 2016
- Certification date
- Jan 15, 2021
- Last updated
- Jan 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
Other names
- Han Urology (Other Name)
Practice location
2100 Keystone AveDrexel Hill, PA 19026-1129
Phone 610-259-3000 · Fax 610-259-3042
Mailing address
2100 Keystone AveDrexel Hill, PA 19026-1129
Phone 610-259-3000 · Fax 610-259-3042
Authorized official
Robert Jon Elders
Secretary
7147881249
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