Organization
THAMES UROLOGY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE S WOODS (PRACTICE MANAGER)
(860) 443-0622
Entity
Organization
Contact information
Practice address
3 SHAW'S COVE, SUITE 206, NEW LONDON, CT 06320
(860) 443-0622
(860) 443-5531
Mailing address
3 SHAW'S COVE, SUITE 206, NEW LONDON, CT 06320
(860) 443-0622
(860) 443-5531
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02905
FIRST COAST SERV. OPTIONS MEDICARE PART B GOUP ID
—
Enumeration date
07/09/2006
Last updated
02/04/2010
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