Organization
DELAWARE COUNTY UROLOGICAL ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL J HIRSH MD (PRESIDENT)
(610) 874-6580
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, STE 102, UPLAND, PA 19013-3995
(610) 874-6580
(610) 874-5504
Mailing address
30 MEDICAL CENTER BLVD, STE 102, UPLAND, PA 19013-3995
(610) 874-6580
(610) 874-5504
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031111000
KEYSTONE HEALTH PLAN EAST
PA
05
—
00872255
—
PA
01
—
016921
AETNA
—
Enumeration date
12/19/2006
Last updated
10/02/2008
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