Phoenixville Specialty Clinics, LLC

NPI #1235229923 in Phoenixville, Pennsylvania

Provider Information

NPI Number: 1235229923
Entity Type: Organization
Organization Name: Phoenixville Specialty Clinics, LLC
Primary Specialty: Urology
Enumeration Date: Oct 13, 2006
Last Updated: May 9, 2019

Practice Location

Address: 824 MAIN ST STE 306
City: Phoenixville
State: Pennsylvania
ZIP Code: 19460-4478
Phone: (610) 933-1133

Authorized Official

Name: LUIS ROSA
Title: VP PAYOR CONTRACTING
Phone: (484) 628-2099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Urology	208800000X	Primary

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