Individual
JOSE N PRUDENCIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 SIR THOMAS CT STE 200, HARRISBURG, PA 17109-4839
(717) 724-0720
(717) 724-0730
Mailing address
815 SIR THOMAS CT STE 200, HARRISBURG, PA 17109-4839
(717) 724-0720
(717) 724-0730
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD035222E
PA
Other
Enumeration date
05/31/2006
Last updated
07/23/2021
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