Centers for Advanced Urology, LLC
NPI #1174089858 in Plymouth Meeting, Pennsylvania
Provider Information
- NPI Number
- 1174089858
- Entity Type
- Organization
- Organization Name
- Centers for Advanced Urology, LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 18, 2019
- Last Updated
- Feb 18, 2019
Practice Location
- Address
- 400 DAVIS DR STE 200A
- City
- Plymouth Meeting
- State
- Pennsylvania
- ZIP Code
- 19462-1718
- Phone
- (610) 825-2151
Authorized Official
- Name
- DAVID J ELLIS
- Title
- PRINCIPAL PHYSICIAN
- Phone
- (610) 525-6580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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