Brockton Urology Clinic Inc

NPI 1336147438 - Urology - 208800000X

NPI Details
NPI 1336147438
Enumeration Date 07/12/2005
Last Updated 11/11/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name RICHARD B RICHARD
Position PRESIDENT
Phone (508) 238-0800
Fax (508) 238-0882
Practice Location
31 ROCHE BROS WAY
SUITE 100
NORTH EASTON MA, 02356-1032, US
Phone (508) 238-0800
Fax (508) 238-0882
Business Location
340 MAIN ST
SUITE 670
WORCESTER MA, 01608-1604, US
Phone (508) 754-3566
Fax (508) 798-8012
Toxanomy
Taxonomy Code 208800000X
License State
License Number
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According to our database, Brockton Urology Clinic Inc NPI is 1336147438, taxonomy code is 208800000X Brockton Urology Clinic Inc physically located at 31 Roche Bros Way, North Easton MA, 02356-1032. NPI Number 1033115704 has the healthcare provider type.

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1336147438 NPI number is provided on an as is basis without warranty of any kind. 1336147438 is maintained by the National Plan & Provider Enumeration System. The contents of Brockton Urology Clinic Inc are for informational purposes only.