Organization
MILFORD UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC NIERMAN MD (PRESIDENT)
(508) 473-6333
Entity
Organization
Contact information
Practice address
54 HOPEDALE ST, HOPEDALE, MA 01747-1700
(508) 473-6333
Mailing address
54 HOPEDALE ST, HOPEDALE, MA 01747-1700
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
47655
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000025365
BCBS OF RI
RI
05
—
0184357
—
MA
01
—
1900202
UNITED HEALTH CARE
MA
01
—
27845
HARVARD PILGRIM HEALTH CA
MA
01
—
4677
FALLON
MA
01
—
717468
TUFTS
MA
01
—
E29048
BCBS OF MA
MA
Enumeration date
02/08/2007
Last updated
08/22/2020
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