Organization
LUA ASSOCIATES PC
Active
Parent organization
LONGWOOD UROLOGICAL ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONGWOOD UROLOGICAL ASSOCIATES
Authorized official
DR. MICHAEL C KEARNEY (OWNER)
(617) 277-0100
Entity
Organization
Contact information
Practice address
319 LONGWOOD AVE, BOSTON, MA 02115-5728
(617) 277-0100
(617) 232-7571
Mailing address
319 LONGWOOD AVE, BOSTON, MA 02115-5728
(617) 277-0100
(617) 232-7571
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9756094
—
MA
Enumeration date
11/02/2012
Last updated
12/13/2016
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