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NPI Code Detail

MEDICARE: BURLINGTON UROLOGICAL ASSOCIATES, P.A.

MEDICARE: BURLINGTON UROLOGICAL ASSOCIATES, P.A.
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
1208800000XUrology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1230130OTHERNCMEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649349176
Entity Type Code : Organization
Provider Name (Legal Business Name) : BURLINGTON UROLOGICAL ASSOCIATES, P.A.
Provider Business Mailing Address
First Line : 827 HEATHER RD
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-6288
Country : US
Telephone Number : 336-227-2761
Fax Number : 336-227-4242
Provider Business Practice Location Address
First Line : 827 HEATHER RD
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-6288
Country : US
Telephone Number : 336-227-2761
Fax Number : 336-227-4242
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. BETTY HALL
Credential :
Telephone Number : 336-227-2761
Provider Enumeration Date : 11/07/2006
Last Update Date : 10/05/2007

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Directions to “BURLINGTON UROLOGICAL ASSOCIATES, P.A. ” Practice Location

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