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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