Organization
CAMBRIDGE UROLOGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICK H CROCKER JR. MD (PRESIDENT)
(617) 547-4400
Entity
Organization
Contact information
Practice address
300 MOUNT AUBURN ST, STE 519, CAMBRIDGE, MA 02138-5600
(617) 547-4400
(617) 576-1076
Mailing address
340 MAIN ST, STE 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 438-6368
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9701974
—
MA
Enumeration date
07/19/2005
Last updated
07/21/2022
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