Organization
UNIVERSITY UROLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE ROSENBERG (DELEGATED OFFICIAL)
(201) 343-0082
Entity
Organization
Contact information
Practice address
630 BROAD ST, CARLSTADT, NJ 07072-1114
(201) 460-8600
(201) 460-8603
Mailing address
20 PROSPECT AVE, SUITE 719, HACKENSACK, NJ 07601-1997
(201) 343-0082
(201) 488-1203
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03648000
NJ
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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