# FPM UROGYNECOLOGY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720315765
- **Authorized official:** MICHELLE JARED (REVENUE CYCLE DIRECTOR)
- **Authorized official phone:** (763) 294-2012

## Contact information

- **Practice address:** 3050 HAMILTON BLVD, SUITE 200, ALLENTOWN, PA 18103-3628
- **Practice address phone:** (610) 435-9575
- **Practice address fax:** (610) 435-2763
- **Mailing address:** 3050 HAMILTON BLVD, SUITE 200, ALLENTOWN, PA 18103-3628
- **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:** 11/12/2009
- **Last updated:** 10/16/2024