Organization
MIDLANTIC UROLOGY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN HUGHES (ADMINISTRATOR & DON)
(610) 230-0736
Entity
Organization
Contact information
Practice address
VALLEY FORGE OFFICE CENTER, SUITE 100, 676-656 EAST SWEDESFORD ROAD, WAYNE, PA 19087
(610) 230-0736
Mailing address
VALLEY FORGE OFFICE CENTER, SUITE 100, 676-656 EAST SWEDESFORD ROAD, WAYNE, PA 19087
(610) 230-0736
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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