is a Urology in East Glastonbury, Connecticut. practices all healthcare services and medical treatments related to Urology. The NPI Number for is 1043477045. The last update date is .
's current location address is Po Box 10, East Glastonbury, Connecticut. You can contact this provider via phone number 8604305773 and fax number 8604305773. The mailing address for is Po Box 10, East Glastonbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 10, East Glastonbury, Connecticut |
| Phone Number | 8604305773 |
| Fax Number | 8604305773 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1043477045 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 10 |
|---|---|
| City | East Glastonbury |
| State | Connecticut (CT) |
| Post Code | 60250010 |
| Phone Number | 8604305773 |
| Fax Number | 8604305773 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 40285 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7190376 | CT | AETNA | |
| 8711289 | CT | CIGNA | |
| 1402859 | CT | -- | |
| 40285 | CT | CONNECTICARE |
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