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MIDDLESEX UROLOGY PC. NPI 1790873453


NPI Information

NPI: 1790873453
Provider Name: MIDDLESEX UROLOGY, PC.
Classification: Urology - 208800000X
Entity Type: Organization
Address:
520 SAYBROOK RD
SUITE 100B
MIDDLETOWN, CT
ZIP 06457
Phone: (860) 347-8850
Get Directions

MIDDLESEX UROLOGY, PC. is an urology in Middletown, 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. MIDDLESEX UROLOGY, PC. NPI is 1790873453. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

520 SAYBROOK RD
SUITE 100B
MIDDLETOWN, CT
ZIP 06457-700
Phone: (860) 347-8850
Fax: (860) 347-6774

The provider's authorized official is Sheryl A Mala .
The authorized official title is Practice Administrator and has the following contact phone number (860) 347-8850.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 1/26/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1340000154MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
2001160332MEDICAIDCONNECTICUT
3001346677MEDICAIDCONNECTICUT
4340000271MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
5001170919MEDICAIDCONNECTICUT
6D02747MEDICARE UPINCONNECTICUT
7G10481MEDICARE UPINCONNECTICUT
8001222751MEDICAIDCONNECTICUT
9B38460MEDICARE UPINCONNECTICUT
10340000269MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
11B37941MEDICARE UPINCONNECTICUT
12C02118MEDICARE ID-TYPE UNSPECIFIED
13340000270MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT

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: 5/5/2024

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