Organization · Type 2 NPI
Premier Urology Group LLC
Specialist · Mountainside, NJ
NPI number
1053634816
Active
Practice location
608 Sherwood Pkwy
Mountainside, NJ 07092-2512
Fax (908) 233-0575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 25MA04379500 (NJ) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4 other providers at this address
- Lisa Wolf, LCSWClinical Social Worker Mountainside, NJ NPI 1811446594
- Pilar Maria Ho, LAMFTMarriage & Family Therapist Mountainside, NJ NPI 1457157380
- Sarah Mandel, RN, LCSWClinical Social Worker Mountainside, NJ NPI 1003219742
- Tamara L. Futran, LCSWClinical Social Worker Mountainside, NJ NPI 1821008004
About NPI 1053634816
Premier Urology Group LLC's National Provider Identifier is 1053634816, issued on Mar 9, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mountainside, NJ. The record was last updated on Mar 9, 2010.