Organization
BROCKTON UROLOGY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD B MCARDLE MD (PRESIDENT)
(508) 583-4922
Entity
Organization
Contact information
Practice address
31 ROCHE BROS WAY, SUITE 100, NORTH EASTON, MA 02356-1032
(508) 238-0800
(508) 238-0882
Mailing address
340 MAIN ST, SUITE 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
—
9739297
—
MA
Enumeration date
07/12/2005
Last updated
07/21/2022
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