Organization · Type 2 NPI

Premier Urology Group LLC

Specialist · Old Bridge, NJ

NPI number 1376866616 Active

Practice location

3 Hospital Plz, Suite 200
Old Bridge, NJ 08857-3093

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X25MA05567600 (NJ)

Specialist: 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.

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About NPI 1376866616

Premier Urology Group LLC's National Provider Identifier is 1376866616, issued on Mar 1, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Old Bridge, NJ. The record was last updated on Aug 17, 2010.