Provider Demographics
NPI:1255379228
Name:YORK COUNTY UROLOGY LLC
Entity type:Organization
Organization Name:YORK COUNTY UROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DELEGATING OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:C
Authorized Official - Last Name:WINTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-283-1602
Mailing Address - Street 1:24 W COLE RD
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-9404
Mailing Address - Country:US
Mailing Address - Phone:207-283-1602
Mailing Address - Fax:207-282-6835
Practice Address - Street 1:24 W COLE RD
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005
Practice Address - Country:US
Practice Address - Phone:207-283-1602
Practice Address - Fax:207-282-6835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty