North Shore Urological Assoc., INC

NPI #1083636567 in Beverly, Massachusetts

Provider Information

NPI Number: 1083636567
Entity Type: Organization
Organization Name: North Shore Urological Assoc., INC
Primary Specialty: Specialist
Enumeration Date: Jul 24, 2006
Last Updated: Jun 10, 2008

Practice Location

Address: 75 HERRICK STREET
Address 2: PARKHURST MEDICAL BUILDING, SUITE 219
City: Beverly
State: Massachusetts
ZIP Code: 01915
Phone: (978) 927-0714

Authorized Official

Name: DR. JOHN S LEDBETTER, M.D.
Title: PRESIDENT
Phone: (978) 927-0714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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