| NPI | 1760608061 |
|---|---|
| Doing Business As | CCMH UROLOGY |
| Entity Type | Organization |
| Authorized Contact | DANIEL JAMES GLUNK Interim President 570-321-2284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2025-09-09 |