ACADEMIC UROLOGY OF PA LLC NPI 1366799140

NPI Information

NPI: 1366799140
Provider Name: ACADEMIC UROLOGY OF PA, LLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
211 S GULPH RD
SUITE 200
KING OF PRUSSIA, PA
ZIP 19406
Phone: (610) 382-5910
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ACADEMIC UROLOGY OF PA, LLC is a radiation oncology radiology in King Of Prussia, PA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. ACADEMIC UROLOGY OF PA, LLC NPI is 1366799140. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

211 S GULPH RD
SUITE 200
KING OF PRUSSIA, PA
ZIP 19406-112
Phone: (610) 382-5910
Fax: (610) 382-5918

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 8/10/2012 and was last updated on 8/10/2012.

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
1	2085R0001X	Radiology	Radiation Oncology	MD031222E	PENNSYLVANIA	Yes

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
1	118334	MEDICARE PIN	PENNSYLVANIA

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: 5/5/2024

NPI Synchronization or Removal

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