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Organization

CONSULTANTS IN UROLOGY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN MARC COLAGIOVANNI M.D. (PRESIDENT)
(401) 331-7400
Entity
Organization

Contact information

Practice address
1524 ATWOOD AVE STE 322, JOHNSTON, RI 02919-3228
(401) 331-7400
(401) 331-7410
Mailing address
1524 ATWOOD AVE, SUITE 322, JOHNSTON, RI 02919-3228
(401) 331-7400
(401) 331-7410

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
709003626
MEDICARE PTAN
RI
01
DE9936
RAILROAD MEDICARE
RI
Enumeration date
03/01/2007
Last updated
12/28/2012
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