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
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