Organization
ADULT & PEDIATRIC UROLOGY CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BURTON A SCHLECKER M.D. (DOCTOR)
(973) 473-5700
Entity
Organization
Contact information
Practice address
1033 CLIFTON AVE, CLIFTON, NJ 07013-3517
(973) 473-5700
(973) 473-3367
Mailing address
1033 CLIFTON AVE, CLIFTON, NJ 07013-3517
(973) 473-5700
(973) 473-3367
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MA47849
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113605000
AMERIHEALTH GROUP#
NJ
01
—
0470398
AETNA HMO GROUP#
NJ
01
—
4555795
AETNA PPO GROUP#
NJ
01
—
CA0533
RAILROAD MEDICARE GROUP#
NJ
Enumeration date
07/20/2006
Last updated
09/30/2009
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