Mystic Valley Urological Associates Inc.

NPI #1740295575 in Stoneham, Massachusetts

Provider Information

NPI Number: 1740295575
Entity Type: Organization
Organization Name: Mystic Valley Urological Associates Inc.
Primary Specialty: Urology
Enumeration Date: Jul 30, 2006
Last Updated: Nov 7, 2016

Practice Location

Address: 3 WOODLAND RD
Address 2: SUITE 216
City: Stoneham
State: Massachusetts
ZIP Code: 02180-1702
Phone: (781) 979-0661

Authorized Official

Name: MARJIE C HALUSKA
Title: DIRECTOR OF BUSINESS OPERATIONS
Phone: (781) 979-0661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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