Provider Demographics
NPI:1720189723
Name:EASTON WARREN UROLOGY P.A.
Entity Type:Organization
Organization Name:EASTON WARREN UROLOGY P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:YEAW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-859-3303
Mailing Address - Street 1:301 COVENTRY DR
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-1968
Mailing Address - Country:US
Mailing Address - Phone:908-859-3303
Mailing Address - Fax:
Practice Address - Street 1:3735 NAZARETH RD
Practice Address - Street 2:SUITE 201
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045
Practice Address - Country:US
Practice Address - Phone:610-258-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty