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1417288150
ACADEMIC UROLOGY OF PA, LLC
LANSDALE, PA
NPI
1417288150
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Entity Type
Organization
Authorized Contact
DAVID J ELLIS
President
610-525-6580
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
(Licence: PA MD031222E)
Enumeration Date
2010-01-20
Last Update Date
2010-01-20
Business Address
ACADEMIC UROLOGY OF PA, LLC
125 MEDICAL CAMPUS DR MEDICAL ARTS BUILDING, SUITE 305
LANSDALE, PA 19446-7205
Phone number: 215-361-2304
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Mailing Address
ACADEMIC UROLOGY OF PA, LLC
919 CONESTOGA RD BUILDING ONE, SUITE 300
BRYN MAWR, PA 19010-1352
Phone number: 610-525-6580
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