Organization Name: | ADVANCED UROLOGY OF NEW ENGLAND, LLC |
NPI Number: | 1235569898 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACQUELINE E BRECHT (MD) |
Mailing Address: | 40 Crane Ave East Longmeadow |
State: | MA US |
Postal Code: | 010282335 |
Phone Number: | 4133184670 |
Fax Number: | 4137540221 |
NPI Enumeration Date: | 11/19/2013 |
NPI Last Update Date: | 02/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 238159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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. |