| NPI | 1699962464 |
|---|---|
| Doing Business As | DBA ADVANCED UROLOGY |
| Entity Type | Organization |
| Authorized Contact | KJELL ANDREW YOUNGREN Physician/CEO 973-889-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NJ MA06467700) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |