Eastern Shore Urology Associates, Pa in Easton - Specialist
Eastern Shore Urology Associates, Pa - NPI 1063420339
Eastern Shore Urology Associates, Pa is a Specialist in Easton, Maryland. Eastern Shore Urology Associates, Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Eastern Shore Urology Associates, Pa is 1063420339. The last update date is 2020-08-22.
Eastern Shore Urology Associates, Pa's current location address is 6 Caulk Ln, Easton, Maryland. You can contact this provider via phone number 4108225552. The mailing address for Eastern Shore Urology Associates, Pa is 6 Caulk Ln, Easton, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastern Shore Urology Associates, Pa |
|---|---|
| Address | 6 Caulk Ln, Easton, Maryland |
| Phone Number | 4108225552 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Knud-Hansen John |
| Credentials | MD |
| Telephone Number | 4108225552 |
NPI Number Detail
| NPI Number | 1063420339 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6 Caulk Ln |
|---|---|
| City | Easton |
| State | Maryland (MD) |
| Post Code | 216013854 |
| Phone Number | 4108225552 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| K092EA | MD | BCBS OF MD GROUP # | |
| CA6016 | MD | RAILROAD MC GROUP # | |
| E683 | MD | BCBS NAT'L CAPITAL GRP# |
Post Comment/ Review Below
What is the Eastern Shore Urology Associates, Pa's 1063420339?
The Eastern Shore Urology Associates, Pa's NPI (National Provider Identifier) Number is 1063420339. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Eastern Shore Urology Associates, Pa is physically located?
The Eastern Shore Urology Associates, Pa is situated at the following address: 6 Caulk Ln, Easton, MD 216013854.
What is Eastern Shore Urology Associates, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eastern Shore Urology Associates, Pa's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063420339 to Eastern Shore Urology Associates, Pa?
The Centers for Medicare & Medicaid Services assigned the 1063420339 to Eastern Shore Urology Associates, Pa on 2006-08-03.
As of what date was the information regarding Eastern Shore Urology Associates, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eastern Shore Urology Associates, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.