| NPI | 1447800222 |
|---|---|
| Doing Business As | FPM UROGYNECOLOGY CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | COLLEEN M CARBO Asu Coordinator 610-435-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |