MEDICARE: UROLOGY ASSOCIATES OF MIDDLESEX COUNTY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician		MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063410348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UROLOGY ASSOCIATES OF MIDDLESEX COUNTY, INC.

Provider Business Mailing Address
First Line	:	340 MAIN ST
Second Line	:	SUITE 670
City	:	WORCESTER
State	:	MA
Zip	:	01608-1604
Country	:	US
Telephone Number	:	508-754-3566
Fax Number	:	508-798-8012

Provider Business Practice Location Address
First Line	:	159 UNION STREET
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752
Country	:	US
Telephone Number	:	508-481-0246
Fax Number	:	508-229-0949

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSEPH F. ADOLPH
Credential	:	MD
Telephone Number	:	508-481-0246

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	07/21/2022

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