Basic Information
| Provider Information | |||||||||
| NPI: | 1730271750 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UROLOGY HEALTH SPECIALISTS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1287 | ||||||||
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| City: | BLUE BELL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194220410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155171101 | ||||||||
| FaxNumber: | 2155171130 | ||||||||
| Practice Location | |||||||||
| Address1: | 1235 OLD YORK RD | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | ABINGTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190013800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155171101 | ||||||||
| FaxNumber: | 2155171130 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/28/2006 | ||||||||
| LastUpdateDate: | 07/01/2014 | ||||||||
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| AuthorizedOfficialLastName: | HALEK | ||||||||
| AuthorizedOfficialFirstName: | MELINDA | ||||||||
| AuthorizedOfficialMiddleName: | JUNE | ||||||||
| AuthorizedOfficialTitleorPosition: | BILLING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4845300205 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Urology |
No ID Information.