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Organization
CENTER FOR UROLOGY CARE
Active
Organization
CENTER FOR UROLOGY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAPHAEL M COOPER MD (OWNER)
(860) 828-9700
Entity
Organization
Contact information
Practice address
279 NEW BRITAIN RD, KENSINGTON, CT 06037-1353
(860) 828-9700
(860) 828-9737
Mailing address
279 NEW BRITAIN RD, KENSINGTON, CT 06037-1353
(860) 828-9700
(860) 828-9737
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
027530
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001275305
—
CT
Enumeration date
02/28/2007
Last updated
11/22/2010
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