Chestnut Urology Pc

LBN: Chestnut Urology Pc
Chestnut Urology Pc is an health care organization with primary practice located at 87 Chestnut St 3Rd Floor, Needham MA 02492. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Chestnut Urology Pc can be contacted via phone (781) 449-0646, or through Merino, Manuel J via phone (781) 449-0646.

Contact Information

Primary practice address
87 Chestnut St 3Rd Floor Needham MA 02492
Phone: (781) 449-0646
Fax: (781) 455-9262
Website:
Map and Directions
Authorized official contact:
Name: Merino, Manuel J Doctor of Medicine (MD)
Phone: (781) 449-0646

Health care specialties

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

Profile Details

NPI number 1194725978
LBN Legal business name Chestnut Urology Pc
DBA Doing business as
Authorized official Merino, Manuel J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2005
Last updated Jul 21st, 2022 - about 2 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 1194725978 NPPES
Massachusetts MEDICAID 9761772

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