Provider Demographics
NPI:1770523250
Name:UROLOGY ASSOCIATES OF CHAMBERSBURG PC
Entity type:Organization
Organization Name:UROLOGY ASSOCIATES OF CHAMBERSBURG PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:HAREN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-264-2827
Mailing Address - Street 1:767 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4207
Mailing Address - Country:US
Mailing Address - Phone:717-264-2827
Mailing Address - Fax:717-264-8455
Practice Address - Street 1:767 5TH AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4207
Practice Address - Country:US
Practice Address - Phone:717-264-2827
Practice Address - Fax:717-264-8455
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UROLOGY ASSOCIATES OF CHAMBERSBURGPC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-06
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA158945Medicare PIN