NPI 1861539728

Associated Northwest Urology

Organisation Urology Physician Sharon, CT

Practice location

Address: 17 Hospital Hill Rd, Sharon, CT 06069-2010
Phone: (860) 364-0225
Fax: (860) 364-1736
Mailing address: PO Box 1736 17 Hospital Hill Rd, Sharon, CT 06069-1736

Authorised official

Name: Jerome Karl Roth
Title: President
Phone: (860) 364-0225

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 019211 (CT)

Other Urology providers in Connecticut →

Registry record

NPI: 1861539728
Entity type: Organization
NPI issued: 31 Jan 2007
Record last updated: 2 May 2008

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.