Organization
VALLEY FORGE UROLOGICAL ASSN., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUS SPECTOR MD (PRESIDENT)
(610) 933-1133
Entity
Organization
Contact information
Practice address
824 MAIN ST, SUITE 203, PHOENIXVILLE, PA 19460-4478
(610) 933-1133
(610) 933-4238
Mailing address
824 MAIN ST, SUITE 203, PHOENIXVILLE, PA 19460-4478
(610) 933-1133
(610) 933-4238
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017773030003
—
PA
01
—
CG7038
PALMETTO GBA - RR MC
PA
Enumeration date
10/10/2006
Last updated
03/14/2008
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