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URBAN COMMUNITY PHYSICIAN ADVISORY BOARD LLC NPI 1003206608

NPI Profile

NPI: 1003206608
Provider Name: URBAN COMMUNITY PHYSICIAN ADVISORY BOARD LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
722 CHURCH LN
YEADON, PA
ZIP 19050
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Phone: (610) 622-9953

URBAN COMMUNITY PHYSICIAN ADVISORY BOARD LLC is a multi-specialty cliniccenter in Yeadon, PA. URBAN COMMUNITY PHYSICIAN ADVISORY BOARD LLC NPI is 1003206608. The provider is registered as an organization entity type.

The provider's business location address is:

722 CHURCH LN
YEADON, PA
ZIP 19050-503
Phone: (610) 622-9953
Fax: (610) 284-6540

The provider's authorized official is Michael Milbourne .
The authorized official title is Physician and has the following contact phone number (610) 622-9953.

The enumeration date for this NPI number is 2/3/2015 and was last updated on 2/3/2015.

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
1261QM1300XClinic/CenterMulti-SpecialtyMD080525LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1104746MEDICARE PINPENNSYLVANIA
2F93932MEDICARE UPINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/31/2020

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