Organization
ADVANCED UROGYNECOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN P. MICHALEWSKI MD (MEDICAL DIRECTOR)
(732) 775-7978
Entity
Organization
Contact information
Practice address
601 SUNSET AVE, ASBURY PARK, NJ 07712-5313
(732) 775-7978
(732) 988-2545
Mailing address
601 SUNSET AVE, ASBURY PARK, NJ 07712-5313
(732) 775-7978
(732) 988-2545
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528623626
CMS
—
Enumeration date
05/03/2019
Last updated
07/02/2019
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