Provider Demographics
NPI:1235389503
Name:COCOA UROLOGY ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:COCOA UROLOGY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UROLOGIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:ZAHORIAN
Authorized Official - Suffix:III
Authorized Official - Credentials:DO, FACOS
Authorized Official - Phone:973-768-5168
Mailing Address - Street 1:203 W CARACAS AVE
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-1567
Mailing Address - Country:US
Mailing Address - Phone:973-768-5168
Mailing Address - Fax:
Practice Address - Street 1:203 W CARACAS AVE
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1567
Practice Address - Country:US
Practice Address - Phone:973-768-5168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003458L208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty