Organization
COUNTY OF MONTGOMERY UROLOGY
Active
Parent organization
PARKHOUSE PROVIDENCE POINTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARKHOUSE PROVIDENCE POINTE
Authorized official
MELANIE DEBLASE DON (ADMINISTRATOR)
(610) 792-2224
Entity
Organization
Contact information
Practice address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
(610) 792-2224
Mailing address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
(610) 792-2224
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD063803L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098438
PROVIDER
PA
01
—
340017735
RAILROAD #
PA
01
—
MD063803L
LICENSE
PA
Enumeration date
05/23/2008
Last updated
05/23/2008
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