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Organization

TRI COUNTY UROLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DOREEN UCCI (OFFICE MANAGER)
(401) 739-2984
Entity
Organization

Contact information

Practice address
176 TOLL GATE ROAD, SUITE 301, WARWICK, RI 02886-4411
(401) 739-2984
(401) 739-0867
Mailing address
176 TOLL GATE ROAD, SUITE 301, WARWICK, RI 02886-4411
(401) 739-2984
(401) 739-0867

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
D0487
RI
174400000X
Specialist
Primary
DO00487
RI
174400000X
Specialist
RI00487
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000277938
BLUE SHIELD
RI
01
022429386
UNITED HEALTHCARE
RI
01
10246
NEIGHBORHOOD HEALTH PLAN OF RI
RI
01
1805526
UNITED HEALTHCARE
RI
01
2969061
UNITED HEALTHCARE
RI
01
402643
BLUE CROSS & BLUE SHIELD OF RI
RI
01
7716215
AETNA US HEALTHCARE
RI
01
794230
TUFTS HEALTH PLAN
RI
01
8177408002
CIGNA
RI
05
9021255
RI
01
AA38818
HARVARD PILGRIM HEALTHCARE
RI
01
DN3002
RAILROAD MEDICARE
RI
05
TC72651
RI
Enumeration date
05/27/2008
Last updated
11/09/2012
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