1730271750 NPI number — UROLOGY HEALTH SPECIALISTS LLC

Table of content: (NPI 1730271750)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730271750 NPI number — UROLOGY HEALTH SPECIALISTS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UROLOGY HEALTH SPECIALISTS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730271750
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/01/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1287
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLUE BELL
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19422-0410
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-517-1101
Provider Business Mailing Address Fax Number:
215-517-1130

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1235 OLD YORK RD
Provider Second Line Business Practice Location Address:
SUITE 210
Provider Business Practice Location Address City Name:
ABINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19001-3800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-517-1101
Provider Business Practice Location Address Fax Number:
215-517-1130
Provider Enumeration Date:
09/28/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HALEK
Authorized Official First Name:
MELINDA
Authorized Official Middle Name:
JUNE
Authorized Official Title or Position:
BILLING MANAGER
Authorized Official Telephone Number:
484-530-0205

Provider Taxonomy Codes

  • Taxonomy code: 208800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)