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ASSOCIATES IN UROLOGY OF WORCESTER PC NPI 1639178676


NPI Information

NPI: 1639178676
Provider Name: ASSOCIATES IN UROLOGY OF WORCESTER PC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 22D2120504

Address:
95 VERNON ST
SUITE 202
WORCESTER, MA
ZIP 01610
Phone: (508) 756-3509
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ASSOCIATES IN UROLOGY OF WORCESTER PC 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. ASSOCIATES IN UROLOGY OF WORCESTER PC NPI is 1639178676. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

95 VERNON ST
SUITE 202
WORCESTER, MA
ZIP 01610
Phone: (508) 756-3509
Fax: (508) 753-3683

The provider's authorized official is Nicole Harrison .
The authorized official title is Manager and has the following contact phone number (508) 756-3509.

The CLIA number assigned to this NPI record is 22D2120504 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 7/19/2016.


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
1208800000XUrologyMASSACHUSETTSYes

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
19718648MEDICAIDMASSACHUSETTS
2M11462MEDICARE PINMASSACHUSETTS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.