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Organization
THE UROLOGY CENTER PC
Active
Organization
THE UROLOGY CENTER PC
Active
Other names
The Urology Center, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM PESANELLI (ADMISTRATOR)
(203) 789-2222
Entity
Organization
Contact information
Practice address
330 ORCHARD ST, SUITE 164, NEW HAVEN, CT 06511
(203) 789-2222
(203) 624-3697
Mailing address
330 ORCHARD ST, SUITE 164, NEW HAVEN, CT 06511
(203) 789-2222
(203) 624-3697
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM0493
RAILROAD MEDICARE PIN
CT
Enumeration date
06/13/2006
Last updated
10/27/2011
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