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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 Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for GREATER BRIDGEPORT UROLOGY CENTER PC

NPI Number 1437353505
LBN Legal business name GREATER BRIDGEPORT UROLOGY CENTER PC
Authorized official LAWRENCE MULDOON - (PRESIDENT GREATER BRIDGEPORT UROLOG)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2007
Last updated 01/07/2010 - About 16 years ago
Identifiers
CT Medicaid 4067815
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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