Organization
HANOVER UROLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA J MILLER (OFFICE MANAGER)
(717) 632-3220
Entity
Organization
Contact information
Practice address
100 PENN ST, HANOVER, PA 17331-1956
(717) 632-3220
Mailing address
100 PENN ST, HANOVER, PA 17331-1956
(717) 632-3220
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD015215E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124088
MEDICARE PTAN
PA
Enumeration date
01/05/2006
Last updated
06/12/2008
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