Eastern Shore Urology Associates, PA

NPI #1063420339 in Easton, Maryland

Provider Information

NPI Number: 1063420339
Entity Type: Organization
Organization Name: Eastern Shore Urology Associates, PA
Primary Specialty: Specialist
Enumeration Date: Aug 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 6 CAULK LN
City: Easton
State: Maryland
ZIP Code: 21601-3854
Phone: (410) 822-5552

Authorized Official

Name: JOHN KNUD-HANSEN, MD
Title: AUTHORIZED OFFICIAL/OWNER
Phone: (410) 822-5552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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