Organization
ADULT AND PEDIATRIC UROLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REKHA SINGH (OFFICE MANAGER)
(781) 344-3506
Entity
Organization
Contact information
Practice address
966 PARK ST # B, SUITE B3, STOUGHTON, MA 02072-3650
(781) 344-3506
(781) 341-4065
Mailing address
966 PARK ST # B, SUITE B3, STOUGHTON, MA 02072-3650
(781) 344-3506
(781) 341-4065
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9787704
—
MA
Enumeration date
01/18/2007
Last updated
05/02/2008
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