Organization
GASTON UROLOGICAL ASSOCIATES, P.A.
Active
Organization
GASTON UROLOGICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE RUFFINO CHO RHIT (BUSINESS OFFICE COORDINATOR)
(704) 864-7764
Entity
Organization
Contact information
Practice address
631 COX RD, GASTONIA, NC 28054-3438
(704) 864-7764
(704) 867-7894
Mailing address
631 COX RD, GASTONIA, NC 28054-3438
(704) 864-7764
(704) 867-7894
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01614
GROUP # BCBS
—
05
—
8901614
—
NC
Enumeration date
05/28/2006
Last updated
06/17/2011
Update your record
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