Organization
UROLOGY & SEXUAL HEALTH INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DREW LASALLE M.D. (PRESIDENT)
(973) 322-0133
Entity
Organization
Contact information
Practice address
200 S ORANGE AVE, 228, LIVINGSTON, NJ 07039-5817
(973) 322-0133
(973) 322-0134
Mailing address
200 S ORANGE AVE, 228, LIVINGSTON, NJ 07039-5817
(973) 322-0133
(973) 322-0134
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05925200
NJ
Other
Enumeration date
10/02/2006
Last updated
03/20/2013
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