Organization
UROLOGIC SPECIALTIES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE M. RASMUSSEN (MANAGER)
(201) 569-7777
Entity
Organization
Contact information
Practice address
177 NORTH DEAN ST, SUITE 305, ENGLEWOOD, NJ 07631
(201) 569-7777
(201) 569-6861
Mailing address
177 NORTH DEAN ST, SUITE 305, ENGLEWOOD, NJ 07631
(201) 569-7777
(201) 569-6861
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
09/07/2010
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