is a Pediatric Urology in Boston, Massachusetts. practices all healthcare services and medical treatments related to Pediatric Urology. The NPI Number for is 1962669895. The last update date is .
's current location address is 300 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 6173557796. The mailing address for is 300 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 300 Longwood Ave, Boston, Massachusetts |
Phone Number | 6173557796 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1962669895 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 300 Longwood Ave |
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City | Boston |
State | Massachusetts (MA) |
Post Code | 21155724 |
Phone Number | 6173557796 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Urology |
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Taxonomy | 2088P0231X |
Licence No | 266163 |
Definition: Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1564W | NC | BCBS | |
1962669895 | NC | -- |
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