# MIDLANTIC UROLOGY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1811534555
- **Authorized official:** DOREEN HUGHES (ADMINISTRATOR & DON)
- **Authorized official phone:** (610) 230-0736

## Contact information

- **Practice address:** VALLEY FORGE OFFICE CENTER, SUITE 100, 676-656 EAST SWEDESFORD ROAD, WAYNE, PA 19087
- **Practice address phone:** (610) 230-0736
- **Mailing address:** VALLEY FORGE OFFICE CENTER, SUITE 100, 676-656 EAST SWEDESFORD ROAD, WAYNE, PA 19087
- **Mailing address phone:** (610) 230-0736

## Taxonomy

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

## Other

- **Enumeration date:** 12/02/2019
- **Last updated:** 12/02/2019