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Western Main Line Urology Pc
Urology Physician in Paoli, Pennsylvania
NPI 1396869012

Western Main Line Urology Pc is a Urology Physician based in Paoli, PA. Western Main Line Urology Pc practices in Paoli, PA. The NPI Number for Western Main Line Urology Pc is 1396869012 and holds a License No. MD04339E (Pennsylvania).

The current practice location address for Western Main Line Urology Pc is 255 W Lancaster Ave, Paoli, PA and can be reached out via phone at 610-644-9600 and via fax at 610-644-0804.

Location: 255 W Lancaster Ave, Paoli, PA, 19301-1763
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396869012
Provider Name
Western Main Line Urology Pc
Credential
Provider Entity Type
Organization
Address
255 W Lancaster Ave, Paoli, PA, 19301-1763
Phone Number
610-644-9600
Fax Number
610-644-0804
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0011574150003 05 PA
0866534000 01 PA IBC
920504 01 PA HIGHMARK BS
institution
Provider Business Practice Location Address Details
Address
255 W Lancaster Ave
City
Paoli
State
Pennsylvania
Zip
19301-1763
Phone Number
610-644-9600
Fax Number
610-644-0804
person
Provider Business Mailing Address Details
Address
255 W Lancaster Ave
City
Paoli
State
Pennsylvania
Zip
19301-1763
Phone Number
610-644-9600
Fax Number
610-644-0804
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
MD04339E (Pennsylvania)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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