Organization
ADVANCED ADULT & PEDIATRIC UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SHAHBANDI MD (OWNER)
(617) 797-5090
Entity
Organization
Contact information
Practice address
300 MERCER ST, APT 22D, NEW YORK, NY 10003-6724
(617) 797-5090
(212) 228-3438
Mailing address
300 MERCER ST, APT 22D, NEW YORK, NY 10003-6724
(617) 797-5090
(212) 228-3438
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA76499
NJ
Other
Enumeration date
05/23/2006
Last updated
08/22/2020
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