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Organization
MIDDLESEX UROLOGY, PC.
Active
Organization
MIDDLESEX UROLOGY, PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL A MALA (PRACTICE ADMINISTRATOR)
(860) 347-8850
Entity
Organization
Contact information
Practice address
520 SAYBROOK RD, SUITE 100B, MIDDLETOWN, CT 06457-4700
(860) 347-8850
(860) 347-6774
Mailing address
520 SAYBROOK RD, SUITE 100B, MIDDLETOWN, CT 06457-4700
(860) 347-8850
(860) 347-6774
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001160332
—
CT
05
—
001170919
—
CT
05
—
001222751
—
CT
05
—
001346677
—
CT
Enumeration date
10/10/2006
Last updated
01/26/2012
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