Organization
TAUNTON UROLOGIC ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER E LEVESQUE MD (PRESIDENT)
(508) 823-5104
Entity
Organization
Contact information
Practice address
72 WASHINGTON ST, SUITE 2220, TAUNTON, MA 02780-2491
(508) 823-5104
(508) 880-7870
Mailing address
72 WASHINGTON ST, SUITE 2220, TAUNTON, MA 02780-2491
(508) 823-5104
(508) 880-7870
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
75540
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9749993
—
MA
Enumeration date
07/04/2006
Last updated
06/03/2010
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