Provider Demographics
NPI:1437483237
Name:MELLER UROLOGY, LLC
Entity Type:Organization
Organization Name:MELLER UROLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MELLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-673-9260
Mailing Address - Street 1:1106 HERKNESS DR
Mailing Address - Street 2:
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1155
Mailing Address - Country:US
Mailing Address - Phone:215-673-9260
Mailing Address - Fax:
Practice Address - Street 1:1106 HERKNESS DR
Practice Address - Street 2:
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-1155
Practice Address - Country:US
Practice Address - Phone:215-673-9260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty