Organization
S.J.ANTOON UROLOGICAL ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALEEM JOSEPH ANTOON JR. M.D. (PRESIDENT)
(724) 337-8404
Entity
Organization
Contact information
Practice address
251 7TH ST, SUITE C202, NEW KENSINGTON, PA 15068-6534
(724) 337-8404
(724) 337-4200
Mailing address
251 7TH ST, SUITE C202, NEW KENSINGTON, PA 15068-6534
(724) 337-8404
(724) 337-4200
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007706320001
—
PA
01
—
1008640
GATEWAY
PA
01
—
S054442
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/24/2006
Last updated
08/22/2020
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