Organization
UROLOGY CENTRAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G EBB MD (OWNER PHYSICIAN)
(978) 466-2280
Entity
Organization
Contact information
Practice address
50 MEMORIAL DRIVE, SUITE 108, LEOMINSTER, MA 01453
(978) 466-2280
(978) 466-2282
Mailing address
50 MEMORIAL DRIVE, SUITE 108, LEOMINSTER, MA 01453
(978) 466-2280
(978) 466-2282
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
212873
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002695
GRP MEDICARE
—
05
—
2110717
—
MA
01
—
637642
GRP TUFTS
—
01
—
M19406
BLUE CROSS GRP
—
Enumeration date
11/17/2006
Last updated
08/11/2018
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