| Organization Name: | URBAN COMMUNITY PHYSICIAN ADVISORY BOARD LLC |
| NPI Number: | 1003206608 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL MILBOURNE (PHYSICIAN) |
| Mailing Address: | 722 Church Ln Yeadon |
| State: | PA US |
| Postal Code: | 190503503 |
| Phone Number: | 6106229953 |
| Fax Number: | 6102846540 |
| NPI Enumeration Date: | 02/03/2015 |
| NPI Last Update Date: | 02/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | MD080525L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |