Provider Demographics
NPI:1669451456
Name:URBANSKI, TIMOTHY E (MD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:E
Last Name:URBANSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 ARBOR WAY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-1917
Mailing Address - Country:US
Mailing Address - Phone:215-646-9220
Mailing Address - Fax:215-646-0715
Practice Address - Street 1:721 ARBOR WAY
Practice Address - Street 2:SUITE 105
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1917
Practice Address - Country:US
Practice Address - Phone:215-646-9220
Practice Address - Fax:215-646-0715
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD013496E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB36420Medicare UPIN
PA100984Medicare PIN