Organization
MEDICAL CENTER UROLOGY PA
Active
Organization
MEDICAL CENTER UROLOGY PA
Active
Other names
Medical Center Urology PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WILLIAM PUSCHINSKY MD (OWNER)
(336) 882-0220
Entity
Organization
Contact information
Practice address
624 QUAKER LN, STE C103, HIGH POINT, NC 27262-3832
(336) 882-0220
(336) 882-1207
Mailing address
624 QUAKER LN, STE C103, HIGH POINT, NC 27262
(336) 882-0220
(336) 882-1207
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0212W
BCBS
NC
05
—
890214K
—
NC
Enumeration date
08/21/2006
Last updated
04/28/2008
Update your record
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