Provider Demographics
NPI:1033172788
Name:UROLOGY ASSOCIATES OF BEAVER, PC
Entity Type:Organization
Organization Name:UROLOGY ASSOCIATES OF BEAVER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:F
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:724-774-3232
Mailing Address - Street 1:350 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2261
Mailing Address - Country:US
Mailing Address - Phone:724-774-3232
Mailing Address - Fax:724-774-4606
Practice Address - Street 1:350 3RD ST
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2261
Practice Address - Country:US
Practice Address - Phone:724-774-3232
Practice Address - Fax:724-774-4606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049939L208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADB5264OtherRR MEDICARE
PA1008887400001Medicaid
PADB5264OtherRR MEDICARE