Organization
UROLOGY CENTRAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD G EBB MD (OWNER/PHYSICIAN)
(978) 466-2280
Entity
Organization
Contact information
Practice address
50 MEMORIAL DR, SUITE 108, LEOMINSTER, MA 01453-2238
(978) 466-2280
Mailing address
50 MEMORIAL DR, SUITE 108, LEOMINSTER, MA 01453-2238
(978) 466-2280
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
MA
01
—
M19406
BLUE SHIELD GRP
MA
Enumeration date
11/17/2015
Last updated
11/17/2015
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