Provider Demographics
NPI:1366533598
Name:UROLOGY ASSOCIATES OF KINGSTON
Entity type:Organization
Organization Name:UROLOGY ASSOCIATES OF KINGSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMPETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-270-2600
Mailing Address - Street 1:670 S RIVER ST STE 301
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18705-1032
Mailing Address - Country:US
Mailing Address - Phone:570-270-2600
Mailing Address - Fax:570-270-2828
Practice Address - Street 1:670 S RIVER ST STE 301
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18705-1032
Practice Address - Country:US
Practice Address - Phone:570-270-2600
Practice Address - Fax:570-270-2828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty