Organization
BELLEVUE UROLOGY ASSOCIATES, INC. PS.
Active
Parent organization
BELLEVUE UROLOGY ASSOCIATES, INC PS
Other names
Bellevue Urology Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLEVUE UROLOGY ASSOCIATES, INC PS
Authorized official
ROBERT M WEISSMAN M.D. (M.D. & PRESIDENT)
(425) 454-8016
Entity
Organization
Contact information
Practice address
1135 NE 116TH AVE., SUITE 620, BELLEVUE, WA 98004
(425) 454-8016
(425) 453-2827
Mailing address
1135 116TH AVE. NE, SUITE 620, BELLEVUE, WA 98004
(425) 454-8016
(425) 453-2827
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF.FS.60099928
WA
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7108558
—
WA
Enumeration date
08/07/2007
Last updated
01/22/2010
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