Organization
UROLOGY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD LAWRENCE FREY MD (PRESIDENT)
(201) 444-7070
Entity
Organization
Contact information
Practice address
4 GODWIN AVENUE, MIDLAND PARK, NJ 07432
(201) 444-7070
(201) 444-7712
Mailing address
4 GODWIN AVENUE, MIDLAND PARK, NJ 07432
(201) 444-7070
(201) 444-7712
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1126601
—
NJ
05
—
195070301
—
NJ
05
—
8247901
—
NJ
05
—
8248001
—
NJ
Enumeration date
04/13/2006
Last updated
06/30/2010
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