Organization
UROLOGY CARE, PA
Active
Organization
UROLOGY CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN GOLDBACH MD (OWNER)
(919) 554-8539
Entity
Organization
Contact information
Practice address
1904 S MAIN ST, SUITE 114, WAKE FOREST, NC 27587-5030
(919) 554-8539
(919) 554-9686
Mailing address
1904 S MAIN ST, SUITE 114, WAKE FOREST, NC 27587-5030
(919) 554-8539
(919) 554-9686
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2007-00855
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1458A
BCBS
NC
Enumeration date
07/05/2007
Last updated
08/15/2011
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