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General NPI Number Information
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NPI Number | 1407705403
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Entity Type | Organization
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Legal Business Name | INNOVATIVE UROLOGY ASSOCIATES P.A.
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 1 ETHEL RD STE 103B
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City | EDISON
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State | NJ
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Zip | 08817-2838
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Country | US
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Telephone | 732-395-7488
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ETHEL RD STE 103B
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City | EDISON
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State | NJ
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Zip | 08817-2838
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Country | US
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Telephone | 732-395-7488
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOMENICO SAVATTA
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Credential | MD
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Telephone | 201-572-1831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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