Organization
THE UROLOGIC SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR F ALTADONNA MD (PRESIDENT)
(717) 397-4254
Entity
Organization
Contact information
Practice address
2110 HARRISBURG PIKE, STE 1, LANCASTER, PA 17601
(717) 397-4254
(717) 735-8154
Mailing address
2110 HARRISBURG PIKE, STE 1, LANCASTER, PA 17601
(717) 397-4254
(717) 735-8154
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016470990001
—
PA
Enumeration date
07/06/2006
Last updated
11/14/2007
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