Organization
NEW ENGLAND UROLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH THAWAIT M.D. (PRESIDENT)
(207) 532-0774
Entity
Organization
Contact information
Practice address
20 HARTFORD ST, SUITE 3, HOULTON, ME 04730-1891
(207) 532-0774
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/29/2005
Last updated
08/22/2020
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