Provider Demographics
NPI:1154459089
Name:CONSULTANTS IN UROLOGY, INC.
Entity Type:Organization
Organization Name:CONSULTANTS IN UROLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:COLAGIOVANNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-331-7400
Mailing Address - Street 1:1524 ATWOOD AVE
Mailing Address - Street 2:SUITE 322
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-3228
Mailing Address - Country:US
Mailing Address - Phone:401-331-7400
Mailing Address - Fax:401-331-7410
Practice Address - Street 1:1524 ATWOOD AVE STE 322
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3228
Practice Address - Country:US
Practice Address - Phone:401-331-7400
Practice Address - Fax:401-331-7410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI709003626OtherMEDICARE PTAN
RIDE9936OtherRAILROAD MEDICARE