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GRACE UROLOGICAL INC NPI 1699819227


NPI Information

NPI: 1699819227
Provider Name: GRACE UROLOGICAL INC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
191 CLARK AVE
SUITE 1
BRATTLEBORO, VT
ZIP 05301
Phone: (802) 257-4265
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GRACE UROLOGICAL INC is an urology in Brattleboro, VT. 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. GRACE UROLOGICAL INC NPI is 1699819227. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

191 CLARK AVE
SUITE 1
BRATTLEBORO, VT
ZIP 05301-400
Phone: (802) 257-4265
Fax: (802) 258-3809

The provider's authorized official is John S.f. Daly .
The authorized official title is President and has the following contact phone number (802) 257-4265.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 4/4/2014.


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
1208800000XUrology420008109VERMONTYes

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
1VN0579MEDICARE ID-TYPE UNSPECIFIEDVERMONT
20VN0579MEDICAIDVERMONT

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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