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NORTHEASTERN UROLOGICAL ASSOCIATES NPI 1255366605


NPI Information

NPI: 1255366605
Provider Name: NORTHEASTERN UROLOGICAL ASSOCIATES
Classification: Urology - 208800000X
Entity Type: Organization
Address:
2314 E ALLEGHENY AVE
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 634-2900
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NORTHEASTERN UROLOGICAL ASSOCIATES is an urology in Philadelphia, 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. NORTHEASTERN UROLOGICAL ASSOCIATES NPI is 1255366605. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2314 E ALLEGHENY AVE
PHILADELPHIA, PA
ZIP 19134-432
Phone: (215) 634-2900
Fax: (215) 634-5687

The provider's authorized official is Lawrence Solish .
The authorized official title is President and has the following contact phone number (215) 634-2900.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10008824760002MEDICAIDPENNSYLVANIA
2CM5670OTHERPENNSYLVANIARAILROAD MEDICARE
30053477000OTHERPALAUKEYSTONE
406897OTHERPENNSYLVANIAHEALTH PARTNERS
5076967OTHERPENNSYLVANIABLUE CROSS PA
632522OTHERPALAUKEYSTONE MERCY

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: 4/28/2024

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