Organization
UROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C CARROLL MD (PRESIDENT)
(508) 678-0004
Entity
Organization
Contact information
Practice address
1601 S MAIN ST, FALL RIVER, MA 02724-2107
(508) 678-0004
(508) 678-6970
Mailing address
340 MAIN STREET, SUITE 670, WORCESTER, MA 01608-1681
(508) 754-3566
(508) 438-6364
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9741372
—
MA
Enumeration date
07/13/2005
Last updated
10/04/2011
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