Academic Urology of Pa, LLC
NPI #1336439645 in Bryn Mawr, Pennsylvania
Provider Information
- NPI Number
- 1336439645
- Entity Type
- Organization
- Organization Name
- Academic Urology of Pa, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Apr 8, 2011
- Last Updated
- Apr 3, 2024
Practice Location
- Address
- 919 CONESTOGA RD
- Address 2
- BUILDING 1 SUITE 300
- City
- Bryn Mawr
- State
- Pennsylvania
- ZIP Code
- 19010-1352
- Phone
- (610) 525-6580
Authorized Official
- Name
- DR. DAVID J ELLIS, M.D.
- Title
- PRESIDENT
- Phone
- (610) 382-5910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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