Organization
UROLOGY FOR CHILDREN
Active
Parent organization
UROLOGY FOR CHILDREN
Organization subpart
Yes
Provider details
NPI number
Legal business name
UROLOGY FOR CHILDREN
Authorized official
KELLEY COHAN (OFFICE MANAGER)
(856) 751-7880
Entity
Organization
Contact information
Practice address
2701 BLAIR MILL RD, STE 6, WILLOW GROVE, PA 19090-1041
(215) 707-6469
(856) 751-9133
Mailing address
2701 BLAIR MILL RD, SUITE 6, WILLOW GROVE, PA 19090-1041
(856) 751-7880
(856) 751-9133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871584101
—
PA
05
—
8699607
—
NJ
Enumeration date
07/27/2007
Last updated
07/27/2007
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