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NPI Code Detail

MEDICARE: S.J.ANTOON UROLOGICAL ASSOC.

MEDICARE: S.J.ANTOON UROLOGICAL ASSOC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical LaboratoryMD-022859-LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730257890
Entity Type Code : Organization
Provider Name (Legal Business Name) : S.J.ANTOON UROLOGICAL ASSOC.
Provider Business Mailing Address
First Line : 251 SEVENTH STREET
Second Line : SUITE C202
City : NEW KENSINGTON
State : PA
Zip : 15068-6534
Country : US
Telephone Number : 724-337-8404
Fax Number : 724-337-4200
Provider Business Practice Location Address
First Line : 251 7TH ST
Second Line : SUITE C202
City : NEW KENSINGTON
State : PA
Zip : 15068-6534
Country : US
Telephone Number : 724-337-8404
Fax Number : 724-337-4200
Authorized Official
Title or Position : DIRECTOR
Name : DR. SALEEM J ANTOON
Credential : M.D.
Telephone Number : 724-337-8404
Provider Enumeration Date : 11/30/2006
Last Update Date : 08/22/2020

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Directions to “S.J.ANTOON UROLOGICAL ASSOC. ” Practice Location

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