Organization
URBAN COMMUNITY PHYSICIAN ADVISORY BOARD LLC
Active
Organization
URBAN COMMUNITY PHYSICIAN ADVISORY BOARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W MILBOURNE MD (PRESIDENT)
(215) 966-1546
Entity
Organization
Contact information
Practice address
722 CHURCH LN, YEADON, PA 19050-3503
(610) 622-9953
(610) 284-6540
Mailing address
722 CHURCH LN, YEADON, PA 19050-3503
(610) 622-9953
(610) 284-6540
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
MD080525L
PA
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10397151001
—
PA
Enumeration date
02/03/2015
Last updated
03/18/2024
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