Organization
ATLANTA UROLOGY ASSOCIATES, P.C.
Active
Other names
Bruce Stein, M.D., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE STEIN M.D. (PHYSICIAN)
(404) 525-5567
Entity
Organization
Contact information
Practice address
550 PEACHTREE ST NE, SUITE 1635, ATLANTA, GA 30308-2247
(404) 525-5567
(404) 880-0192
Mailing address
PO BOX 54676, ATLANTA, GA 30308-0676
(404) 525-5567
(404) 880-0192
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
029535
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340002347
RR MEDICARE
GA
05
—
55002324A
—
GA
Enumeration date
04/24/2008
Last updated
07/31/2009
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