Organization
MYSTIC VALLEY UROLOGICAL ASSOCIATES, INC
Active
Parent organization
MYSTIC VALLEY UROLOGICAL ASSOCIATES, INC
Other names
Mystic Valley Urological Associates, Too
Organization subpart
Yes
Provider details
NPI number
Legal business name
MYSTIC VALLEY UROLOGICAL ASSOCIATES, INC
Authorized official
MARJIE C HALUSKA (DIRECTOR OF BUSINESS OPERATIONS)
(781) 462-3040
Entity
Organization
Contact information
Practice address
3 WOODLAND RD, SUITE 216, STONEHAM, MA 02180-1702
(781) 979-0661
(781) 979-0372
Mailing address
3 WOODLAND RD, SUITE 216, STONEHAM, MA 02180-1702
(781) 979-0661
(781) 979-0372
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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