Provider Demographics
NPI:1740334507
Name:ADVANCED UROLOGY ASSOCIATES, P.A.
Entity type:Organization
Organization Name:ADVANCED UROLOGY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-499-0111
Mailing Address - Street 1:700 N BROAD ST
Mailing Address - Street 2:STE# 302
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-2310
Mailing Address - Country:US
Mailing Address - Phone:908-289-3666
Mailing Address - Fax:908-289-0716
Practice Address - Street 1:700 N BROAD ST
Practice Address - Street 2:STE# 302
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-2310
Practice Address - Country:US
Practice Address - Phone:908-289-3666
Practice Address - Fax:908-289-0716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
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
NJ8053502Medicaid
NJCG1381OtherGROUP RAILROAD MEDICARE
NJ033678Medicare ID - Type UnspecifiedGROUP MEDICARE