Organization
UROLOGY ASSOCS OF MONAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY MURATA (SECRETARY-TREASURER)
(603) 352-3700
Entity
Organization
Contact information
Practice address
117 MAIN ST, KEENE, NH 03431-3775
(603) 352-3700
Mailing address
117 MAIN ST, KEENE, NH 03431-3775
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50Y340800NH01
ANTHEM
NH
05
—
80309161
—
NH
Enumeration date
11/02/2006
Last updated
04/20/2008
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