Provider Demographics
NPI:1609960590
Name:UROLOGIC SURGEONS OF NEW ENGLAND, P.C.
Entity Type:Organization
Organization Name:UROLOGIC SURGEONS OF NEW ENGLAND, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENZONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-861-8400
Mailing Address - Street 1:125 CORLISS ST
Mailing Address - Street 2:2ND LEVEL
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-2611
Mailing Address - Country:US
Mailing Address - Phone:401-274-6565
Mailing Address - Fax:401-331-2370
Practice Address - Street 1:125 CORLISS ST
Practice Address - Street 2:2ND LEVEL
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-2611
Practice Address - Country:US
Practice Address - Phone:401-274-6565
Practice Address - Fax:401-331-2370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI10059OtherNHP
RI25692OtherBCBS RI
RI008242OtherTUFTS
RI0004673110OtherAETNA
RI0007759013OtherAETNA
RI1087OtherNHP GROUP
RI27125OtherHARVARD PILGRIM HEALTHCAR
RI27180OtherHARVARD PILGRIM HEALTHCAR
RIAA51691OtherHARVARD PILGRIM HEALTHCAR
RI005102OtherTUFTS
RI1900145OtherUNITED HEALTH CARE
RI1900147OtherUNITED HEALTH CARE
RI797515OtherTUFTS
RI10058OtherNHP
RI1900216OtherUNITED HEALTH CARE
RI10058OtherNHP