Organization
UNIVERSITY UROLOGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY F COUTU (PRACTICE ADMINISTRATOR)
(401) 276-2001
Entity
Organization
Contact information
Practice address
2 DUDLEY ST, SUITE 175/185, PROVIDENCE, RI 02905-3236
(401) 272-7799
(401) 272-9299
Mailing address
2 DUDLEY ST, SUTIE 175/185, PROVIDENCE, RI 02905-3236
(401) 421-0710
(401) 421-0796
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/31/2008
Last updated
04/29/2008
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