Organization
WAYNE UROLOGICAL ASSOCIATES PA
Active
Organization
WAYNE UROLOGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN VICTOR KASPAR M.D. (VICE PRESIDENT)
(919) 735-1635
Entity
Organization
Contact information
Practice address
1112 GRACIE PLACE, GOLDSBORO, NC 27534-2260
(919) 735-1635
(919) 735-6699
Mailing address
1112 GRACIE PLACE, GOLDSBORO, NC 27534-2260
(919) 735-1635
(919) 735-6699
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
208800000X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902910
—
NC
Enumeration date
04/11/2006
Last updated
07/06/2010
Update your record
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