| NPI | 1174089858 |
|---|---|
| Doing Business As | MIDLANTIC UROLOGY |
| Entity Type | Organization |
| Authorized Contact | DAVID J ELLIS Principal Physician 610-525-6580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |