OrganizationActive
Academic Urology of PA, LLC
NPI 1740536531 · Anatomic Pathology Physician · King of Prussia, PA
Provider details
- NPI number
- 1740536531
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- David Ellis, President
- License
- MD031222E (PA)
Practice location
211 S Gulph Rd
Suite 200
King of Prussia, PA 19406-3112
Phone: (610) 382-5910
Fax: (610) 382-5918
Mailing address
211 S Gulph Rd
King of Prussia, PA 19406-3112
Registry dates
- Enumerated
- 2012-07-30
- Last updated
- 2012-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.