Organization
UROLOGICAL ASSOCIATES OF BRIDGEPORT PROF.CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS A VINER MD (PHYSICIAN)
(203) 375-3456
Entity
Organization
Contact information
Practice address
160 HAWLEY LANE, TRUMBULL, CT 06611-5300
(203) 375-3456
(203) 375-4456
Mailing address
160 HAWLEY LANE, TRUMBULL, CT 06611-5300
(203) 375-3456
(203) 375-4456
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14383
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLPOL 0082
STATE OF CT
CT
Enumeration date
05/02/2007
Last updated
11/07/2013
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