Organization
GREATER BRIDGEPORT UROLOGY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE D. MULDOON MD (PRESIDENT GREATER BRIDGEPORT UROLOG)
(203) 254-1576
Entity
Organization
Contact information
Practice address
425 POST RD, 2ND FLOOR, FAIRFIELD, CT 06824
(203) 254-1576
(203) 254-1809
Mailing address
425 POST RD, 2ND FLOOR, FAIRFIELD, CT 06824
(203) 254-1576
(203) 254-1809
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4067815
—
CT
Enumeration date
06/13/2007
Last updated
01/07/2010
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