UNIVERSITY UROLOGICAL ASSOCIATES, INC.
Urology at Collyer St, Providence, RI

License number
Rhode Island PHS00006
Category
Radiology
Type
Urology
Owner
Name: MS. MICHELLE R DEROCHE
Title: PRACTICE ADMINISTRATOR
Phone: (401) 276-2001
Address
Address
195 Collyer St SUITE 201, Providence, RI 02904
National Provider ID: 1336365873
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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University Urological Associates, Inc

195 Collyer St SUITE 201, Providence, RI 02904

Industry:
TO RENDER PROFESSIONAL MEDICAL SERVICES BY DULY LICENSED PHYSICIANS., Medical Doctor's Office
Registration:
Jan 7, 1997
Phone:
(401) 272-7799 (Phone)
State ID:
000092971
Business type:
Professional Service Corporation
Medical Doctors:
Mark Sigman (PRESIDENT, Medical Director), 195 Collyer St SUITE 201, Providence, RI 02904 (Physical),Margaret E. Gagner (Nurse Practitioner),Siva Vithiananthan (Medical Doctor, Surgeon),...
Agent:
E. Colby Cameron, Esq,301 Promenade St, Providence, RI 02908 (Physical)
SIC:
8011 - Offices and Clinics of Doctors of Medicine

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