Charles River Urology Inc

LBN: Charles River Urology Inc
Charles River Urology Inc is an health care organization with primary practice located at 15 Parkman St Suite 486, Boston MA 02114-3117. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Charles River Urology Inc can be contacted via phone (617) 726-3512, or through Dretler, Stephen P via phone (617) 726-3512.

Contact Information

Primary practice address
15 Parkman St Suite 486 Boston MA 02114-3117
Phone: (617) 726-3512
Fax: (617) 726-3519
Website:
Map and Directions
Authorized official contact:
Name: Dretler, Stephen P Doctor of Medicine (MD)
Phone: (617) 726-3512

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 29066 Massachusetts

Profile Details

NPI number 1982690731
LBN Legal business name Charles River Urology Inc
DBA Doing business as
Authorized official Dretler, Stephen P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2005
Last updated May 22nd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982690731 NPPES
Massachusetts MEDICAID 9708979

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