Western Main Line Urology Pc in Paoli - Urology

Western Main Line Urology Pc - NPI 1396869012

Western Main Line Urology Pc is a Urology in Paoli, Pennsylvania. Western Main Line Urology Pc practices all healthcare services and medical treatments related to Urology. The NPI Number for Western Main Line Urology Pc is 1396869012. The last update date is 2010-08-31.

Western Main Line Urology Pc's current location address is 255 W Lancaster Ave, Paoli, Pennsylvania. You can contact this provider via phone number 6106449600 and fax number 6106440804. The mailing address for Western Main Line Urology Pc is 255 W Lancaster Ave, Paoli, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Western Main Line Urology Pc
Address 255 W Lancaster Ave, Paoli, Pennsylvania
Phone Number 6106449600
Fax Number 6106440804
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Thompson M Gregory
Credentials MD
Telephone Number 6106449600

NPI Number Detail

NPI Number 1396869012
Provider Enumeration Date 2007-03-19
Last Updated Date 2010-08-31

Provider Mailing Address Detail

Address 255 W Lancaster Ave
City Paoli
State Pennsylvania (PA)
Post Code 193011763
Phone Number 6106449600
Fax Number 6106440804

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Licence No MD04339E
Definition:
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11574150003 PA --
866534000 PA IBC
920504 PA HIGHMARK BS

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FAQs about Western Main Line Urology Pc

What is the unique 10-digit identification code issued to Western Main Line Urology Pc by the Centers for Medicare & Medicaid Services?

The Western Main Line Urology Pc has been assigned the NPI (National Provider Identifier) 1396869012 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Western Main Line Urology Pc located?

The Western Main Line Urology Pc is located at 255 W Lancaster Ave, Paoli, PA 193011763.

What is Western Main Line Urology Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Western Main Line Urology Pc is Urology, and the taxonomy code that categorizes this field of expertise is 208800000X.

When did Western Main Line Urology Pc receive its 1396869012 assignment?

The Western Main Line Urology Pc was assigned its 1396869012 on 2007-03-19, which is the date when this unique identifier was issued to the organization.

When was the information regarding Western Main Line Urology Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Western Main Line Urology Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-08-31.

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