Organization
UROLOGICAL SURGERY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD A CHIBARO M.D. (OWNER)
(603) 434-6380
Entity
Organization
Contact information
Practice address
44 BIRCH ST, SUITE 303, DERRY, NH 03038-2752
(603) 434-6380
(603) 434-3626
Mailing address
PO BOX 2200, AMHERST, NH 03031-4200
(603) 673-9411
(603) 673-9899
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003201
—
NH
01
—
515
HEALTHSOURCE
NH
01
—
708360
TUFTS HEALTH PLAN
NH
01
—
NH9371
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/22/2006
Last updated
08/22/2020
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