NPI 1598578064

Gbu Umass LLC

Organisation Urology Physician Dedham, MA

Practice location

Address: 910 Washington St STE 200, Dedham, MA 02026-6033
Phone: (781) 762-0471
Mailing address: 51 Mill St, Bldg F Suite a, Hanover, MA 02339-6022

Authorised official

Name: Denise Bonavita
Title: Vice President Business Admin
Phone: (781) 337-0201

Registered specialties (3)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

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Diagnostic Ultrasound Physician

Allopathic & Osteopathic Physicians Taxonomy 2085U0001X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1598578064
Entity type: Organization
NPI issued: 29 Jan 2025
Record last updated: 29 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.