Organization
YORKTOWNE UROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN S ROGGENBAUM (PRACTICE MANAGER)
(717) 741-9536
Entity
Organization
Contact information
Practice address
2350 FREEDOM WAY, SUITE 102, YORK, PA 17402
(717) 741-9536
(717) 741-5509
Mailing address
2350 FREEDOM WAY, SUITE 102, YORK, PA 17402
(717) 741-9536
(717) 741-5509
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02502300
CAPITAL BLUECROSS GROUP
PA
05
—
1007713350010
—
PA
01
—
664700
HIGHMARK BLUESHIELD GROUP
PA
Enumeration date
11/01/2006
Last updated
09/29/2011
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