Organization
ALBEMARLE UROLOGY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL RICHARD PASTORINI MD (PRESIDENT)
(704) 982-5150
Entity
Organization
Contact information
Practice address
923 N SECOND ST, SUITE 204, ALBEMARLE, NC 28001
(704) 982-5150
(704) 982-5181
Mailing address
923 N SECOND ST, SUITE 204, ALBEMARLE, NC 28001
(704) 982-5150
(704) 982-5181
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0141J
BCBS
—
Enumeration date
10/19/2006
Last updated
08/22/2020
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