Organization
ADULT & PEDIATRIC UROLOGY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN FALCO (BILLING MANAGER)
(973) 539-2119
Entity
Organization
Contact information
Practice address
261 JAMES ST, SUITE 3A, MORRISTOWN, NJ 07960-6392
(973) 539-2119
Mailing address
261 JAMES ST, SUITE 3A, MORRISTOWN, NJ 07960-6392
(973) 539-2119
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
339172
UNITED HEALTHCARE
NJ
01
—
CN5036
RAILROAD MC GRP#
NJ
01
—
SCI090
OXFORD GROUP#
NJ
Enumeration date
09/16/2005
Last updated
09/13/2007
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