ACADEMIC UROLOGY OF PA, LLC

KING OF PRUSSIA, PA
NPI1366799140
Entity TypeOrganization
Authorized ContactDAVID J ELLIS
President
610-525-6580
Organization Subpart ?No
Primary Taxonomy2085R0001X 
(Licence: PA  MD031222E)
Enumeration Date2012-08-10
Last Update Date2012-08-10
Business Address
ACADEMIC UROLOGY OF PA, LLC
211 S GULPH RD SUITE 200
KING OF PRUSSIA, PA 19406-3112
Phone number: 610-382-5910
Mailing Address
ACADEMIC UROLOGY OF PA, LLC
211 S GULPH RD SUITE 200
KING OF PRUSSIA, PA 19406-3112
Phone number: 610-382-5910
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