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Organization

NEWARK-WAYNE UROLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RALPH R. MADEB M.D (PHYSICIAN)
(315) 359-2690
Entity
Organization

Contact information

Practice address
1202 DRIVING PARK AVE, SUITE 5, NEWARK, NY 14513-1057
(315) 359-2690
(315) 359-2128
Mailing address
1202 DRIVING PARK AVE, SUITE 5, NEWARK, NY 14513-1057
(315) 359-2690
(315) 359-2128

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
07/23/2010
Last updated
03/26/2014
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