Organization
PHILADELPHIA UROSURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTENE E. WHITMORE M.D. (OFFICER/DIRECTOR)
(215) 863-8100
Entity
Organization
Contact information
Practice address
207 N BROAD ST, 4TH FLOOR, PHILADELPHIA, PA 19107-1500
(215) 863-8100
(215) 587-6252
Mailing address
207 N BROAD ST, 4TH FLOOR, PHILADELPHIA, PA 19107-1500
(215) 863-8100
(215) 587-6252
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913600
—
PA
Enumeration date
04/18/2006
Last updated
06/01/2011
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