Organization
CHARLES RIVER UROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P DRETLER M.D. (PRESIDENT)
(617) 726-3512
Entity
Organization
Contact information
Practice address
15 PARKMAN ST, SUITE 486, BOSTON, MA 02114-3117
(617) 726-3512
(617) 726-3519
Mailing address
15 PARKMAN ST, SUITE 486, BOSTON, MA 02114-3117
(617) 726-3512
(617) 726-3519
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29066
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9708979
—
MA
Enumeration date
09/26/2005
Last updated
05/22/2012
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