Provider Demographics
NPI:1811536121
Name:WASHINGTON PHYSICIAN SERVICES
Entity type:Organization
Organization Name:WASHINGTON PHYSICIAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:LAZARUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-229-2330
Mailing Address - Street 1:95 LEONARD AVENUE
Mailing Address - Street 2:BUILDING 2 4TH FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301
Mailing Address - Country:US
Mailing Address - Phone:724-223-3673
Mailing Address - Fax:724-229-2961
Practice Address - Street 1:125 N FRANKLIN DR STE 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-5892
Practice Address - Country:US
Practice Address - Phone:724-229-2424
Practice Address - Fax:724-579-1614
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WASHINGTON PHYSICIAN SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty