| NPI | 1972634350 |
|---|---|
| Doing Business As | NORTH COUNTRY UROLOGY SERVICES |
| Entity Type | Organization |
| Authorized Contact | ANDRE BISSONNETT CFO 802-334-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology |
| 208800000X Urology | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VT 042-0010304) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2009-04-10 |