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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

NPI # 1366799140
LBN Legal business name ACADEMIC UROLOGY OF PA, LLC
Authorized official DAVID ELLIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2012
Last updated 08/10/2012 - About 14 years ago
Identifiers
PA License # MD031222E
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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