Charles River Urology Inc in Boston - Urology

Charles River Urology Inc - NPI 1982690731

Charles River Urology Inc is a Urology in Boston, Massachusetts. Charles River Urology Inc practices all healthcare services and medical treatments related to Urology. The NPI Number for Charles River Urology Inc is 1982690731. The last update date is 2012-05-22.

Charles River Urology Inc's current location address is 15 Parkman St, Boston, Massachusetts. You can contact this provider via phone number 6177263512 and fax number 6177263519. The mailing address for Charles River Urology Inc is 15 Parkman St, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Charles River Urology Inc
Address 15 Parkman St, Boston, Massachusetts
Phone Number 6177263512
Fax Number 6177263519
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Dretler P Stephen
Credentials M.D.
Telephone Number 6177263512

NPI Number Detail

NPI Number 1982690731
Provider Enumeration Date 2005-09-26
Last Updated Date 2012-05-22

Provider Mailing Address Detail

Address 15 Parkman St
City Boston
State Massachusetts (MA)
Post Code 21143117
Phone Number 6177263512
Fax Number 6177263519

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Licence No 29066
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
9708979 MA --

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FAQs about Charles River Urology Inc

What is the unique 10-digit identification code assigned to Charles River Urology Inc by the Centers for Medicare & Medicaid Services?

The Charles River Urology Inc has been issued the NPI (National Provider Identifier) 1982690731, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Charles River Urology Inc is located?

The Charles River Urology Inc is situated at the following address: 15 Parkman St, Boston, MA, 21143117.

What is Charles River Urology Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Charles River Urology Inc is Urology, and the taxonomy classification code that categorizes this area of expertise is 208800000X.

When was the Charles River Urology Inc's 1982690731 issued?

The Charles River Urology Inc's 1982690731 was issued on 2005-09-26.

As of what date was the information regarding Charles River Urology Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Charles River Urology Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-05-22.

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