OrganizationActive
Academic Urology of PA, LLC
NPI 1336439645 · Ambulatory Surgical Clinic/Center · Bryn Mawr, PA
Provider details
- NPI number
- 1336439645
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Ellis, President(610) 382-5910
- License
- 50421501 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
919 Conestoga Rd
Building 1 Suite 300
Bryn Mawr, PA 19010-1352
Phone: (610) 525-6580
Fax: (610) 525-3664
Approximate (ZIP-level) locationGet directions
Mailing address
211 S Gulph Rd
King of Prussia, PA 19406-3112
Additional practice locations (5)
- 200 E State St Ste 205Media, PA 19063-3434Phone: (610) 565-2776Fax: (610) 565-4247
- 2 Industrial Blvd Ste 120Paoli, PA 19301-1645Phone: (610) 644-2165Fax: (610) 644-2165
- 20 N Sunnybrook RdPottstown, PA 19464-2946Phone: (610) 935-9010Fax: (610) 935-1510
- 1055 Andrew Dr Ste aWest Chester, PA 19380-3446Phone: (610) 692-4270
- 915 Old Fern Hill Rd Ste 202West Chester, PA 19380-3431Phone: (610) 692-4270Fax: (610) 692-2566
Registry dates
- Enumerated
- 2011-04-08
- Last updated
- 2024-04-03
- Certified
- 2024-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.