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WORCESTER UROLOGICAL ASSOCIATES INC NPI 1285634782


NPI Information

NPI: 1285634782
Provider Name: WORCESTER UROLOGICAL ASSOCIATES INC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 22D0069788

Address:
25 OAK AVENUE
WORCESTER, MA
ZIP 01605
Phone: (508) 756-6293
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WORCESTER UROLOGICAL ASSOCIATES INC is an urology in Worcester, MA. The provider is 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 acquired conditions of the urinary and reproductive systems and their contiguous structures. WORCESTER UROLOGICAL ASSOCIATES INC NPI is 1285634782. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25 OAK AVENUE
WORCESTER, MA
ZIP 01605
Phone: (508) 756-6293
Fax: (508) 756-9404

The provider's authorized official is Michael R Wollin .
The authorized official title is President and has the following contact phone number (508) 756-6293.

The CLIA number assigned to this NPI record is 22D0069788 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/26/2005 and was last updated on 9/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology=========MASSACHUSETTSNo
2208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M11355MEDICARE UPIN
29701087MEDICAIDMASSACHUSETTS
381612175MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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