Provider Demographics
NPI:1871834416
Name:MATTHIAS SOLGA MD SARATOGA UROLOGY
Entity Type:Organization
Organization Name:MATTHIAS SOLGA MD SARATOGA UROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHIAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-306-6184
Mailing Address - Street 1:1 WEST AVE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-6045
Mailing Address - Country:US
Mailing Address - Phone:518-306-6184
Mailing Address - Fax:518-450-1279
Practice Address - Street 1:1 WEST AVE
Practice Address - Street 2:SUITE 320
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-6045
Practice Address - Country:US
Practice Address - Phone:518-306-6184
Practice Address - Fax:518-450-1279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY268131208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPENDINGMedicaid
NYPENDINGMedicaid