# FPM UROGYNECOLOGY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FPM Urogynecology Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447800222
- **Authorized official:** COLLEEN M CARBO (ASU COORDINATOR)
- **Authorized official phone:** (610) 435-9575

## Contact information

- **Practice address:** 3050 HAMILTON BLVD STE 200, ALLENTOWN, PA 18103-3691
- **Practice address phone:** (610) 435-9575
- **Practice address fax:** (610) 435-2763
- **Mailing address:** 3050 HAMILTON BLVD STE 200, ALLENTOWN, PA 18103-3691
- **Mailing address phone:** (610) 435-9575
- **Mailing address fax:** (610) 435-2763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2019
- **Last updated:** 09/13/2019