Provider Demographics
NPI:1699977017
Name:UROLOGICAL ASSOCIATES OF THE PIEDMONT PC
Entity type:Organization
Organization Name:UROLOGICAL ASSOCIATES OF THE PIEDMONT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:PFEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-825-2900
Mailing Address - Street 1:1100 SUNSET LN
Mailing Address - Street 2:SUITE 1211A
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-3378
Mailing Address - Country:US
Mailing Address - Phone:540-825-2900
Mailing Address - Fax:540-825-0644
Practice Address - Street 1:1100 SUNSET LN
Practice Address - Street 2:SUITE 1211A
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3378
Practice Address - Country:US
Practice Address - Phone:540-825-2900
Practice Address - Fax:540-825-0644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06396Medicare PIN
TXG01222Medicare PIN
VAC06397Medicare PIN