Organization
CHESTNUT UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL J MERINO MD (PRESIDENT)
(781) 449-0646
Entity
Organization
Contact information
Practice address
87 CHESTNUT ST, 3RD FLOOR, NEEDHAM, MA 02492
(781) 449-0646
(781) 455-9262
Mailing address
340 MAIN ST, STE 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 798-8012
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9761772
—
MA
Enumeration date
07/22/2005
Last updated
07/21/2022
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