Organization
VALLEY UROLOGISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT PHILIP CRICCO M.D. (OWNER/PHYSICIAN)
(603) 542-7669
Entity
Organization
Contact information
Practice address
5 DUNNING ST, CLAREMONT, NH 03743-2070
(603) 542-7669
(603) 543-1323
Mailing address
340 MAIN ST, STE. 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 798-8021
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
6007
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82346864
—
NH
Enumeration date
01/04/2008
Last updated
11/11/2009
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