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GREATER BRIDGEPORT UROLOGY CENTER PC NPI 1437353505


NPI Information

NPI: 1437353505
Provider Name: GREATER BRIDGEPORT UROLOGY CENTER PC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
425 POST RD
2ND FLOOR
FAIRFIELD, CT
ZIP 06824
Phone: (203) 254-1576
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GREATER BRIDGEPORT UROLOGY CENTER PC is an urology in Fairfield, CT. 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. GREATER BRIDGEPORT UROLOGY CENTER PC NPI is 1437353505. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

425 POST RD
2ND FLOOR
FAIRFIELD, CT
ZIP 06824
Phone: (203) 254-1576
Fax: (203) 254-1809

The provider's authorized official is Lawrence D. Muldoon .
The authorized official title is President Greater Bridgeport Urolog and has the following contact phone number (203) 254-1576.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 1/7/2010.


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
1208800000XUrologyYes

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
14067815MEDICAIDCONNECTICUT

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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