Healthcare Provider Details

I. General information

NPI: 1609982099
Provider Name (Legal Business Name): UROLOGY CONSULTANTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 NEWARK AVENUE SUITE 200
BELLEVILLE NJ
07109-4121
US

IV. Provider business mailing address

36 NEWARK AVENUE SUITE 200
BELLEVILLE NJ
07109-4121
US

V. Phone/Fax

Practice location:
  • Phone: 973-759-6950
  • Fax: 973-759-6945
Mailing address:
  • Phone: 973-759-6950
  • Fax: 973-759-6945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY DEL GALZO
Title or Position: PRESIDENT
Credential: MD
Phone: 973-759-6950