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Contact Information

UROLOGY SPECIALTY CARE PA
15-01 BROADWAY RT 4 WEST
STE 1 & 3
FAIR LAWN, NJ07410
 Phone: 201-791-4544
 Fax: 201-791-4544
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for UROLOGY SPECIALTY CARE PA · (Female)

NPI Number 1790745396
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2006
Last updated 04/26/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ Medicaid 7586205
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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