Individual
SANDRA LYNN URTISHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
255 W. LANCASTER AVE., PAOLI, PA 19301-1763
(484) 565-1600
(610) 647-2006
Mailing address
255 W. LANCASTER AVE., PAOLI, PA 19301-1763
(484) 565-1600
(610) 647-2006
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD429886
PA
207RH0003X
Hematology & Oncology Physician
Primary
MD429886
PA
Other
Enumeration date
09/17/2008
Last updated
10/08/2015
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