CENTERS FOR ADVANCED UROLOGY LLP NPI 1952829350

NPI Information

  • NPI: 1952829350
  • Provider Name: CENTERS FOR ADVANCED UROLOGY, LLP
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: MIDLANTIC UROLOGY
  • CLIA Number: 39D2029190
  • Address: 140 W GERMANTOWN PIKE STE 250
    PLYMOUTH MEETING, PA
    ZIP 19462
  • Phone: (484) 530-0205

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NPI Details

CENTERS FOR ADVANCED UROLOGY, LLP is an urology in Plymouth Meeting, 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. CENTERS FOR ADVANCED UROLOGY, LLP NPI is 1952829350. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Midlantic Urology.

The provider's business location address is:

140 W GERMANTOWN PIKE STE 250
PLYMOUTH MEETING, PA
ZIP 19462-421
Phone: (484) 530-0205
Fax: (484) 530-0209

The provider's authorized official is Sandy Maselli .
The authorized official title is Credentialing Specialist and has the following contact phone number (484) 530-0205.

The CLIA number assigned to this NPI record is 39D2029190 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2017 and was last updated on 7/21/2022.

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
1208800000XUrologyYes

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

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