Healthcare Provider Details

I. General information

NPI: 1922057629
Provider Name (Legal Business Name): THE CENTERS FOR ADVANCED UROLOGY LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2106 HARRISBURG PIKE STE 200
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

PO BOX 3200
LANCASTER PA
17604-3200
US

V. Phone/Fax

Practice location:
  • Phone: 717-393-1771
  • Fax: 717-393-2782
Mailing address:
  • Phone: 717-393-1771
  • Fax: 717-393-2782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: PAUL R SIEBER
Title or Position: PRESIDENT
Credential: MD
Phone: 717-393-1771