Active NPIOrganization

Mass Bay Urologic Assoc

Urology in Dorchester Center, Massachusetts

NPI Number1730189341
Practice location
2100 Dorchester Ave, Suite 2206, Dorchester Center, MA 02124-5615
Fax
617-296-3834
Last updated
September 24, 2010

Mass Bay Urologic Assoc is a healthcare organization based in Dorchester Center, MA. Mass Bay Urologic Assoc practices in Dorchester Center, MA. The NPI Number for Mass Bay Urologic Assoc is 1730189341 and holds a License No. 57617 (MA). The current practice location address for Mass Bay Urologic Assoc is 2100 Dorchester Ave, Suite 2206, Dorchester Center, MA 02124-5615 and can be reached out via phone at 617-296-2222 and via fax at 617-296-3834.

Provider Profile Details

NPI Number
1730189341
Provider Name
Mass Bay Urologic Assoc
Provider Entity Type
Organization
Address
2100 Dorchester Ave, Suite 2206, Dorchester Center, MA 02124-5615
Phone Number
617-296-2222
Fax Number
617-296-3834
Primary Taxonomy
Urology · 208800000X
Organization Subpart
No
Authorized Official
Clifford D Gluck, MD · Owner · 617-296-2222
Provider Enumeration Date
July 26, 2005
Last Update Date
September 24, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
2100 Dorchester Ave
Suite 2206
Dorchester Center, MA 02124-5615
Zip
02124-5615
Phone Number
617-296-2222
Fax Number
617-296-3834
Dorchester Center, MA 02124Get directions →

Provider Business Mailing Address Details

Address
72 Sharp St
Hingham, MA 02043-4351
City
Hingham
State
MA
Zip
02043-4351
Phone Number
781-337-0201
Fax Number
781-335-3674

License Information

License Number
57617
License State
MA
Taxonomy
Urology · 208800000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mass Bay Urologic Assoc?

The NPI number of Mass Bay Urologic Assoc is 1730189341. It was assigned on July 26, 2005 and is currently active in the NPPES registry.

What is the specialty of Mass Bay Urologic Assoc?

Mass Bay Urologic Assoc is registered under the primary taxonomy Urology (code 208800000X), licensed in MA under license number 57617.

Where does Mass Bay Urologic Assoc practice?

The practice location is 2100 Dorchester Ave, Suite 2206, Dorchester Center, MA 02124-5615. The office can be reached at 617-296-2222 (phone) or 617-296-3834 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730189341 directly on the NPPES registry website.

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