| Organization Name: | CENTER FOR UROLOGIC CARE OF BERKS CO PC |
| NPI Number: | 1033116892 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALAN N FLEISCHER (MEDICAL DIRECTOR) |
| Mailing Address: | 1320 Broadcasting Rd Suite 210 Wyomissing |
| State: | PA US |
| Postal Code: | 196103222 |
| Phone Number: | 6106851044 |
| Fax Number: | 6106851009 |
| NPI Enumeration Date: | 07/07/2005 |
| NPI Last Update Date: | 03/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 16741501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |