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Organization
ROCHESTER UROLOGY PC
Active
Organization
ROCHESTER UROLOGY PC
Active
Other names
Prof Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A BADALAMENT MD (OWNER)
(248) 650-4699
Entity
Organization
Contact information
Practice address
1202 WALTON BLVD, SUITE 211, ROCHESTER HILLS, MI 48307-6900
(248) 650-4699
(248) 650-4696
Mailing address
1202 WALTON BLVD, SUITE 211, ROCHESTER HILLS, MI 48307-6900
(248) 650-4699
(248) 650-4696
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF323590
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/21/2006
Last updated
09/15/2008
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