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COASTAL UROLOGY PLLC NPI 1417150236


NPI Information

NPI: 1417150236
Provider Name: COASTAL UROLOGY PLLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 34D1075784

Address:
1099 MEDICAL CENTER DR
STE 101
WILMINGTON, NC
ZIP 28401
Phone: (910) 254-9995
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COASTAL UROLOGY PLLC is an urology in Wilmington, NC. 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. COASTAL UROLOGY PLLC NPI is 1417150236. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1099 MEDICAL CENTER DR
STE 101
WILMINGTON, NC
ZIP 28401-367
Phone: (910) 254-9995
Fax: (910) 254-9996

The provider's authorized official is Victor Elias Abraham .
The authorized official title is President and has the following contact phone number (910) 254-9995.

The CLIA number assigned to this NPI record is 34D1075784 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2007 and was last updated on 1/22/2020.


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
1208800000XUrology9700005NORTH CAROLINAYes

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: 4/28/2024

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