Organization
NASHOBA VALLEY UROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIN RATHORE (PRESIDENT)
(978) 772-5419
Entity
Organization
Contact information
Practice address
190 GROTON RD, SUITE 230, AYER, MA 01432-1124
(978) 772-5419
(978) 772-7006
Mailing address
190 GROTON RD, SUITE 230, AYER, MA 01432-1124
(978) 772-5419
(978) 772-7006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
037036
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0028516
NEIGHBORHOOD
MA
01
—
701713
TUFTS
MA
05
—
9715959
—
MA
01
—
CM9560
RAILROAD MEDICARE
MA
01
—
M12384
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/18/2006
Last updated
05/08/2008
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