Organization
PROSPECT HEALTH ACCESS NETWORK, INC.
Active
Other names
HAN Urology
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
2100 KEYSTONE AVE, DREXEL HILL, PA 19026-1129
(610) 259-3000
(610) 259-3042
Mailing address
2100 KEYSTONE AVE, DREXEL HILL, PA 19026-1129
(610) 259-3000
(610) 259-3042
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
01/15/2021
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