is a Urology in , . practices all healthcare services and medical treatments related to Urology. The NPI Number for is 1104878594. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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Address | , , |
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Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1104878594 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
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State | () |
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Provider's Primary Taxonomy Detail
Speciality | Urology |
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Taxonomy | 208800000X |
Licence No | ME50481 |
Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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3335290 | FL | CIGNA | |
4292309 | FL | AETNA | |
2807 | FL | DIMENSION | |
P971581 | FL | OPTIMUM | |
71806 | FL | AVMED | |
970464 | FL | WELLCARE | |
P00862 | FL | FREEDOM | |
P01604160 | FL | RR MEDICARE | |
3801 | FL | BCBS | |
1017242 | FL | WELLCARE |
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