Provider Demographics
NPI:1366459968
Name:TRI COUNTY UROLOGIC ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:TRI COUNTY UROLOGIC ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-323-5550
Mailing Address - Street 1:2103 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3213
Mailing Address - Country:US
Mailing Address - Phone:610-323-5550
Mailing Address - Fax:610-327-4651
Practice Address - Street 1:2103 E HIGH ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3213
Practice Address - Country:US
Practice Address - Phone:610-323-5550
Practice Address - Fax:610-327-4651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA39498Medicare ID - Type Unspecified