Greater Bridgeport Urology Center PC

NPI #1437353505 in Fairfield, Connecticut

Provider Information

NPI Number: 1437353505
Entity Type: Organization
Organization Name: Greater Bridgeport Urology Center PC
Primary Specialty: Urology
Enumeration Date: Jun 13, 2007
Last Updated: Jan 7, 2010

Practice Location

Address: 425 POST RD
Address 2: 2ND FLOOR
City: Fairfield
State: Connecticut
ZIP Code: 06824
Phone: (203) 254-1576

Authorized Official

Name: DR. LAWRENCE D. MULDOON, MD
Title: PRESIDENT GREATER BRIDGEPORT UROLOG
Phone: (203) 254-1576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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