Provider Demographics
NPI:1861463556
Name:UROLOGY PHYSICIANS PA
Entity Type:Organization
Organization Name:UROLOGY PHYSICIANS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-267-6800
Mailing Address - Street 1:668 MAIN STREET
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048
Mailing Address - Country:US
Mailing Address - Phone:609-267-6800
Mailing Address - Fax:609-267-8932
Practice Address - Street 1:668 MAIN STREET
Practice Address - Street 2:SUITE 4
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048
Practice Address - Country:US
Practice Address - Phone:609-267-6800
Practice Address - Fax:609-267-8932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
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
0086298000OtherAMERIHEALTH
45235OtherAETNA
167538Medicare ID - Type Unspecified