NPI 1982690731

Charles River Urology INC

Organisation Urology Physician Boston, MA

Practice location

Address: 15 Parkman St Suite 486, Boston, MA 02114-3117
Phone: (617) 726-3512
Fax: (617) 726-3519

Authorised official

Name: Stephen P Dretler
Title: President
Phone: (617) 726-3512

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 29066 (MA)

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Registry record

NPI: 1982690731
Entity type: Organization
NPI issued: 26 Sep 2005
Record last updated: 22 May 2012

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.