ACADEMIC UROLOGY OF PA, LLC; NPI #1336439645

Contact Information

ACADEMIC UROLOGY OF PA, LLC

919 CONESTOGA RD
BUILDING 1 SUITE 300
BRYN MAWR, PA 19010-1352

Phone: 610-525-6580
Fax: 610-525-3664
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ACADEMIC UROLOGY OF PA, LLC

NPI Number 1336439645

LBN Legal business name ACADEMIC UROLOGY OF PA, LLC

Authorized official DAVID ELLIS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/08/2011

Last updated 04/03/2024 - About 2 years ago

Identifiers

License #

50421501

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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ACADEMIC UROLOGY OF PA, LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for ACADEMIC UROLOGY OF PA, LLC

Reviews for ACADEMIC UROLOGY OF PA, LLC