| NPI | 1952829350 |
|---|---|
| Doing Business As | MIDLANTIC UROLOGY |
| Entity Type | Organization |
| Authorized Contact | SANDY MASELLI Credentialing Specialist 484-530-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-21 |