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Organization

CENTER FOR CONTINENCE CONTROL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT MIRKIN SCHLESINGER M.D. (OWNER)
(781) 828-3533
Entity
Organization

Contact information

Practice address
150 YORK ST, STOUGHTON, MA 02072-1829
(781) 297-1391
(781) 828-2471
Mailing address
1 EDWARD ST, CANTON, MA 02021-2303
(781) 828-3533
(781) 828-2471

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
32227
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
718795
TUFTS HEALTH PLANS
MA
05
9757759
MA
01
AA60852
HARVARD PILGRIM HEALTH
MA
01
M14441
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
04/17/2007
Last updated
08/22/2020
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