Organization
THE UROLOGY CENTER PC
Active
Other names
The Urology Center, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM PESANELLI (ADMISTRATOR)
(203) 789-2222
Entity
Organization
Contact information
Practice address
330 ORCHARD ST, SUITE 164, NEW HAVEN, CT 06511
(203) 789-2222
(203) 624-3697
Mailing address
330 ORCHARD ST, SUITE 164, NEW HAVEN, CT 06511
(203) 789-2222
(203) 624-3697
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM0493
RAILROAD MEDICARE PIN
CT
Enumeration date
06/13/2006
Last updated
10/27/2011
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