Organization Name: | PREMIER UROLOGY GROUP LLC |
NPI Number: | 1013230879 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH S RING (MD) |
Mailing Address: | 570 South Ave E Building A Cranford |
State: | NJ US |
Postal Code: | 070163200 |
Phone Number: | 9087898788 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2010 |
NPI Last Update Date: | 08/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA04379500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |