Organization
MONTGOMERY UROLOGY CLINIC
Active
Organization
MONTGOMERY UROLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALJIT S CABERWAL MD (PRESIDENT)
(910) 572-3410
Entity
Organization
Contact information
Practice address
1001 N MAIN ST, TROY, NC 27371
(910) 572-3900
(910) 572-3410
Mailing address
1001 N MAIN ST, TROY, NC 27371
(910) 572-3900
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01064
BCBS
NC
05
—
7901064
—
NC
Enumeration date
10/20/2006
Last updated
12/08/2011
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