Organization
MERRIMACK UROLOGY ASSOC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A EDELSTEIN MD (PRESIDENT)
(978) 256-9507
Entity
Organization
Contact information
Practice address
31 VILLAGE SQ, CHELMSFORD, MA 01824-2712
(978) 256-9507
Mailing address
31 VILLAGE SQ, CHELMSFORD, MA 01824-2712
(978) 256-9507
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9700293
—
MA
Enumeration date
07/02/2006
Last updated
05/07/2013
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