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Organization
UNIVERSITY UROLOGICAL ASSOCIATES, INC.
Active
Organization
UNIVERSITY UROLOGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM F HALL (PRACTICE ADMINISTRATOR)
(401) 276-2001
Entity
Organization
Contact information
Practice address
195 COLLYER ST, SUITE 201, PROVIDENCE, RI 02904-1869
(401) 272-7799
(401) 272-9299
Mailing address
195 COLLYER ST, SUITE 201, PROVIDENCE, RI 02904-1869
(401) 272-7799
(401) 272-9299
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UU04337
—
RI
Enumeration date
09/29/2006
Last updated
11/09/2016
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