Academic Urology of Pa, LLC

NPI #1417288150 in Lansdale, Pennsylvania

Provider Information

NPI Number: 1417288150
Entity Type: Organization
Organization Name: Academic Urology of Pa, LLC
Primary Specialty: Urology
Enumeration Date: Jan 20, 2010
Last Updated: Jan 20, 2010

Practice Location

Address: 125 MEDICAL CAMPUS DR
Address 2: MEDICAL ARTS BUILDING, SUITE 305
City: Lansdale
State: Pennsylvania
ZIP Code: 19446-7205
Phone: (215) 361-2304

Authorized Official

Name: DR. DAVID J ELLIS, M.D.
Title: PRESIDENT
Phone: (610) 525-6580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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