Organization
YORKTOWNE UROLOGY, PC
Active
Organization
YORKTOWNE UROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN S ROGGENBAUM (PRACTICE MANAGER)
(717) 741-9536
Entity
Organization
Contact information
Practice address
2350 FREEDOM WAY, SUITE 102, YORK, PA 17402-8261
(717) 741-9536
(717) 741-5509
Mailing address
2350 FREEDOM WAY, SUITE 102, YORK, PA 17402-8261
(717) 741-9536
(717) 741-5509
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007713350009
—
PA
Enumeration date
08/22/2007
Last updated
08/22/2007
Update your record
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