Organization
HAHNEMANN UROLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S. BENNETT MD (PRESIDENT)
(508) 755-8663
Entity
Organization
Contact information
Practice address
291 LINCOLN ST, SUITE 201, WORCESTER, MA 01605-3643
(508) 755-8663
(508) 753-4731
Mailing address
291 LINCOLN ST, SUITE 201, WORCESTER, MA 01605-3643
(508) 755-8663
(508) 753-4731
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
MA
208800000X
Urology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9712879
—
MA
Enumeration date
09/29/2006
Last updated
07/11/2007
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