Organization
WINDHAM UROLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN N GRAHAM M.D. (OWNER)
(860) 423-5656
Entity
Organization
Contact information
Practice address
63 CANTERBURY RD, BROOKLYN, CT 06234-1901
(860) 412-0491
(860) 412-0496
Mailing address
63 CANTERBURY RD, BROOKLYN, CT 06234-1901
(860) 412-0491
(860) 412-0496
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
06/02/2015
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