Organization
TWINBROOK UROLOGICAL ASSOCIATES INC.
Active
Organization
TWINBROOK UROLOGICAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOISE SHEMS M.D. (PRINCIPLE)
(781) 893-4555
Entity
Organization
Contact information
Practice address
20 HOPE AVE, SUITE 204, WALTHAM, MA 02453-2721
(781) 893-4555
(781) 893-5583
Mailing address
20 HOPE AVE, SUITE 204, WALTHAM, MA 02453-2721
(781) 893-4555
(781) 893-5583
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701442
TUFTS
MA
05
—
9706569
—
MA
01
—
M11636
BLUE CROSS
MA
Enumeration date
01/24/2008
Last updated
01/24/2008
Update your record
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