Twin River Urology in White River Jct - Urology

Twin River Urology - NPI 1205941879

Twin River Urology is a Urology in White River Jct, Vermont. Twin River Urology practices all healthcare services and medical treatments related to Urology. The NPI Number for Twin River Urology is 1205941879. The last update date is 2007-07-17.

Twin River Urology's current location address is 108 No Main St, White River Jct, Vermont. You can contact this provider via phone number 8022967370 and fax number 8022967174. The mailing address for Twin River Urology is 108 No Main St, White River Jct, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Organization Twin River Urology
Address 108 No Main St, White River Jct, Vermont
Phone Number 8022967370
Fax Number 8022967174
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BUS MANAGE
Authorized Official Name Detzer L Kathy
Telephone Number 8022967370

NPI Number Detail

NPI Number 1205941879
Provider Enumeration Date 2006-08-21
Last Updated Date 2007-07-17

Provider Mailing Address Detail

Address 108 No Main St
City White River Jct
State Vermont (VT)
Post Code 5001
Phone Number 8022967370
Fax Number 8022967174

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Licence No 8746
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
OVN0573 VT --
301 VT MEDICARE GROUP

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FAQs about Twin River Urology

What is the Twin River Urology's unique identification number?

The Twin River Urology has been assigned the NPI (National Provider Identifier) Number 1205941879 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Twin River Urology is physically located?

The Twin River Urology is physically situated at the following address: 108 No Main St, White River Jct, VT, 5001.

What is the Twin River Urology's specialty and taxonomy code?

The Twin River Urology's specialty is Urology, and the corresponding taxonomy code is 208800000X.

On what date did the Twin River Urology receive the assignment of its 1205941879 from the Centers for Medicare & Medicaid Services?

The Twin River Urology was issued its 1205941879 by the Centers for Medicare & Medicaid Services on 2006-08-21.

When was the Twin River Urology's information last updated?

The Twin River Urology's information was last updated on 2007-07-17.

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