Organization
CAROLINA UROLOGY CLINIC, PA
Active
Organization
CAROLINA UROLOGY CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD P GLINSKI MD, PHD (OWNER)
(910) 642-5832
Entity
Organization
Contact information
Practice address
25 UNION SCHOOL RD NW, OCEAN ISLE BEACH, NC 28469-7307
(910) 642-5832
(910) 642-8814
Mailing address
25 UNION SCHOOL RD NW, OCEAN ISLE BEACH, NC 28469-7307
(910) 642-5832
(910) 642-8814
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01601
BLUE CROSS
NC
05
—
89015NV
—
NC
01
—
CG7448
RAIL ROAD MEDICARE
NC
05
—
NPA160
—
SC
Enumeration date
10/05/2006
Last updated
01/06/2010
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