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Contact Information

ACADEMIC UROLOGY OF PA, LLC
211 S GULPH RD
SUITE 200
KING OF PRUSSIA, PA19406-3112
 Phone: 610-382-5910
 Fax: 610-382-5918
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for ACADEMIC UROLOGY OF PA LLC · (Female)

NPI Number 1366799140
Status Active
Credentials
Entity Individual
Enumeration date 08/10/2012
Last updated 08/10/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # MD031222E
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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