Children's Urological Foundation

NPI #1144234055 in Boston, Massachusetts

Provider Information

NPI Number: 1144234055
Entity Type: Organization
Organization Name: Children's Urological Foundation
Primary Specialty: Urology
Enumeration Date: Jul 28, 2006
Last Updated: Dec 11, 2025

Practice Location

Address: 300 LONGWOOD AVE
City: Boston
State: Massachusetts
ZIP Code: 02115-5724
Phone: (617) 355-6136

Authorized Official

Name: KATHLEEN M HICKEY
Title: PROVIDER ENROLLMENT MANAGER
Phone: (617) 355-4956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Urology	208800000X	Primary

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