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Organization
GREATER BRIDGEPORT UROLOGY CENTER PC
Active
Organization
GREATER BRIDGEPORT UROLOGY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE D. MULDOON MD (PRESIDENT GREATER BRIDGEPORT UROLOG)
(203) 254-1576
Entity
Organization
Contact information
Practice address
425 POST RD, 2ND FLOOR, FAIRFIELD, CT 06824
(203) 254-1576
(203) 254-1809
Mailing address
425 POST RD, 2ND FLOOR, FAIRFIELD, CT 06824
(203) 254-1576
(203) 254-1809
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4067815
—
CT
Enumeration date
06/13/2007
Last updated
01/07/2010
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