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UROLOGY CENTRAL PC NPI 1972977882


NPI Information

NPI: 1972977882
Provider Name: UROLOGY CENTRAL PC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 22D1045334

Address:
50 MEMORIAL DR
SUITE 108
LEOMINSTER, MA
ZIP 01453
Phone: (978) 466-2280
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UROLOGY CENTRAL PC is an urology in Leominster, 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. UROLOGY CENTRAL PC NPI is 1972977882. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

50 MEMORIAL DR
SUITE 108
LEOMINSTER, MA
ZIP 01453-238
Phone: (978) 466-2280

The provider's authorized official is Ronald G Ebb .
The authorized official title is Owner/physician and has the following contact phone number (978) 466-2280.

The CLIA number assigned to this NPI record is 22D1045334 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2015 and was last updated on 11/17/2015.


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
1208800000XUrology212873MASSACHUSETTSYes

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
10002695OTHERMASSACHUSETTSGRP MEDICARE
2M19406OTHERMASSACHUSETTSBLUE SHIELD GRP
3A3848701MEDICARE 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: 4/28/2024

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