ACADEMIC UROLOGY OF PALLC NPI 1003148966

NPI Information

  • NPI: 1003148966
  • Provider Name: ACADEMIC UROLOGY OF PA,LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 1313 DEKALB ST
    NORRISTOWN, PA
    ZIP 19401
  • Phone: (610) 272-1881

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NPI Details

ACADEMIC UROLOGY OF PA,LLC is an urology in Norristown, PA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ACADEMIC UROLOGY OF PA,LLC NPI is 1003148966. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1313 DEKALB ST
NORRISTOWN, PA
ZIP 19401-403
Phone: (610) 272-1881
Fax: (610) 275-8819

The provider's authorized official is David J Ellis .
The authorized official title is President and has the following contact phone number (610) 525-6580.

The enumeration date for this NPI number is 2/3/2010 and was last updated on 2/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyMD031222EPENNSYLVANIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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