Organization
ADVANCED UROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL W MUSSELMAN MD (PRESIDENT)
(330) 758-9787
Entity
Organization
Contact information
Practice address
904 SAHARA TRAIL, YOUNGSTOWN, OH 44514-3667
(330) 758-9787
(330) 758-9792
Mailing address
PO BOX 76526, CLEVELAND, OH 44101-6500
(330) 758-9787
(330) 758-9792
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170998
—
OH
05
—
2011183
—
OH
05
—
2092711
—
OH
01
—
CA7425
RAILROAD MEDICARE
—
Enumeration date
07/30/2006
Last updated
06/05/2008
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