National Provider Identifier Database

GREATER BRIDGEPORT UROLOGY CENTER PC
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

GREATER BRIDGEPORT UROLOGY CENTER PC
425 POST RD
2ND FLOOR
FAIRFIELD, CT06824
Phone: 203-254-1576
Fax: 203-254-1809
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for GREATER BRIDGEPORT UROLOGY CENTER PC

NPI Number 1437353505
Legal business name
LBN
GREATER BRIDGEPORT UROLOGY CENTER PC
Authorized official LAWRENCE MULDOON - (PRESIDENT GREATER BRIDGEPORT UROLOG)
Entity Organization
Organization subpart No
Enumeration date 06/13/2007
Last updated 01/07/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • CT Medicaid: 4067815

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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