Organization
CENTER FOR UROLOGIC CARE OF BERKS CO PC
Active
Parent organization
CENTER FOR UROLOGIC CARE OF BERKS CO PC
Other names
Berks Urologic Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR UROLOGIC CARE OF BERKS CO PC
Authorized official
MR. HARRY MICHAEL BUCHMAN MBA (COO)
(610) 685-4510
Entity
Organization
Contact information
Practice address
1320 BROADCASTING RD, SUITE 210, WYOMISSING, PA 19610-3222
(610) 685-1044
(610) 685-1009
Mailing address
1320 BROADCASTING RD, SUITE 210, WYOMISSING, PA 19610-3222
(610) 685-1044
(610) 685-1009
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
16741501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1868
HIGHMARK BS FACILITY NUMB
PA
01
—
390849
CAPITAL BC FACILITY
PA
Enumeration date
07/07/2005
Last updated
08/26/2020
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