Provider First Line Business Practice Location Address:
33 SOUTH 9TH STREET, SUITE 703
Provider Second Line Business Practice Location Address:
DEPARTMENT OF UROLOGY
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19107-5001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-955-1000
Provider Business Practice Location Address Fax Number:
215-503-2066
Provider Enumeration Date:
05/06/2021