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Contact Information

SOUTHERN CONNECTICUT UROLOGICAL ASSOCIATES LLC
111 NEW HAVEN AVE
UNIT 5
DERBY, CT06418-2197
 Phone: 203-736-4816
 Fax: 203-732-7956
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for SOUTHERN CONNECTICUT UROLOGICAL ASSOCIATES LLC

NPI Number 1437345113
LBN Legal business name SOUTHERN CONNECTICUT UROLOGICAL ASSOCIATES LLC
Authorized official ARNOLD RIVERA - (SOLE MEMBER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/17/2007
Last updated 11/24/2023 - About 3 years ago
Identifiers
CT License # 043098
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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