Urologic Associates of Wilkes Barre INC

NPI #1043412265 in Kingston, Pennsylvania

Provider Information

NPI Number: 1043412265
Entity Type: Organization
Organization Name: Urologic Associates of Wilkes Barre INC
Primary Specialty: Urology
Enumeration Date: Jun 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 470 WYOMING AVE
City: Kingston
State: Pennsylvania
ZIP Code: 18704-3603
Phone: (570) 288-4551

Authorized Official

Name: HARAGOPAL PENUGONDA, MD
Title: OWNER
Phone: (570) 288-4551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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