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UROLOGY ASSOCIATES OF WATERBURY LLC NPI 1457995433


NPI Information

NPI: 1457995433
Provider Name: UROLOGY ASSOCIATES OF WATERBURY LLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 07D2183034

Address:
1579 STRAITS TPKE STE 2A
MIDDLEBURY, CT
ZIP 06762
Phone: (203) 757-8361
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UROLOGY ASSOCIATES OF WATERBURY LLC is an urology in Middlebury, 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. UROLOGY ASSOCIATES OF WATERBURY LLC NPI is 1457995433. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1579 STRAITS TPKE STE 2A
MIDDLEBURY, CT
ZIP 06762-835
Phone: (203) 757-8361
Fax: (203) 754-9126

The provider's authorized official is Michael Flanagan .
The authorized official title is Member and has the following contact phone number (203) 757-8361.

The CLIA number assigned to this NPI record is 07D2183034 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2019 and was last updated on 11/1/2019.


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

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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