Active NPI 1205890381 Individual Practitioner Male Practitioner

Dr. Anthony Kim , MD

Urology • Middlebury, CT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Kim, MD is a certified Urology practicing in Middlebury, CT. With approximately 22 years of clinical experience since graduating from Yale University School Of Medicine in 2004, Dr. Kim delivers high-quality medical care to the local community at 1579 STRAITS TPKE.

Dr. Kim is affiliated with Trinity Health Of New England Provider Network Organization Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include automated urinalysis test, established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1579 Straits Tpke
Suite 2a

Middlebury, CT 067621835

Telephone 2037578361

Fax 2037549126

Associated Practice Facility / Clinic

🏢 Urology Specialists, P. C. Facility NPI 1760446173

Medicare Profile & Education

Medical School

Yale University School Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Middlebury, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -8.0 yrs vs City Avg

City Avg: 30.0 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

6 Specialists

Practicing in Middlebury, CT (196 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

64.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (22 Years) 22 Yrs

Middlebury Specialty Average (30.0 Years) 30.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,015	613	$6.00	$2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	811	468	$251.59	$132.85
51798 Ultrasound measurement of bladder capacity after voiding	648	409	$60.00	$12.16
76775 Limited ultrasound scan behind abdominal cavity	493	363	$270.00	$62.58
99213 Established patient office or other outpatient visit, typically 15 minutes	383	324	$175.29	$94.70
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	107	15	$331.00	$178.71
52000 Diagnostic exam of bladder and urethra using an endoscope	99	75	$764.00	$251.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	81	28	$77.00	$14.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$366.34	$173.87
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	41	20	$100.00	$37.39
51702 Simple insertion of temporary bladder tube	33	16	$221.00	$64.87
52356 Crushing of stone of ureter with insertion of stent using an endoscope	21	20	$1347.24	$428.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$299.00	$133.06
52648 Laser vaporization of prostate including control of bleeding using an endoscope	14	14	$2140.00	$708.35
55700 Biopsy of prostate gland	12	12	$777.00	$252.97
76872 Ultrasound scan of pelvic region through rectum	12	12	$379.00	$146.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	3,520	16	$5.00	$4.07
81003 Automated urinalysis test	1,105	665	$6.00	$2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	806	476	$237.00	$134.41
51798 Ultrasound measurement of bladder capacity after voiding	722	480	$60.00	$11.76
76775 Limited ultrasound scan behind abdominal cavity	440	327	$270.00	$63.64
99213 Established patient office or other outpatient visit, typically 15 minutes	390	330	$161.00	$95.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	157	35	$77.00	$15.05
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	119	20	$331.00	$171.00
52000 Diagnostic exam of bladder and urethra using an endoscope	86	62	$764.00	$258.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$355.00	$174.16
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	61	32	$100.00	$36.63
99443 Telephone medical discussion with physician, 21-30 minutes	56	50	$303.00	$134.13
52648 Laser vaporization of prostate including control of bleeding using an endoscope	17	17	$2119.29	$724.71
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	15	$1437.29	$449.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$294.00	$134.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	5,120	18	$5.00	$4.02
81003 Automated urinalysis test	1,209	689	$6.00	$2.21
51798 Ultrasound measurement of bladder capacity after voiding	865	531	$60.00	$11.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	805	493	$237.15	$136.30
99213 Established patient office or other outpatient visit, typically 15 minutes	383	324	$161.00	$97.45
76775 Limited ultrasound scan behind abdominal cavity	286	231	$270.00	$64.33
99443 Telephone medical discussion with physician, 21-30 minutes	162	127	$290.95	$137.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	160	38	$77.00	$15.52
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	154	26	$331.00	$177.83
52000 Diagnostic exam of bladder and urethra using an endoscope	107	73	$652.43	$273.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$355.00	$179.29
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	80	39	$100.00	$36.80
J1040 Injection, methylprednisolone acetate, 80 mg	60	11	$16.00	$10.83
51700 Simple bladder irrigation and/or instillation	37	12	$260.00	$85.15
51702 Simple insertion of temporary bladder tube	29	17	$221.00	$68.92
52648 Laser vaporization of prostate including control of bleeding using an endoscope	22	22	$1788.00	$687.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$242.00	$120.75
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$1500.33	$422.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	3,760	13	$5.00	$3.98
81003 Automated urinalysis test	1,277	718	$6.00	$2.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,226	715	$237.14	$139.19
51798 Ultrasound measurement of bladder capacity after voiding	864	512	$60.00	$11.60
76775 Limited ultrasound scan behind abdominal cavity	369	255	$270.00	$64.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	176	39	$77.00	$15.42
99443 Telephone medical discussion with physician, 21-30 minutes	132	100	$242.00	$140.44
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	106	20	$331.00	$171.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$355.76	$179.58
36415 Insertion of needle into vein for collection of blood sample	105	95	$9.00	$3.00
52000 Diagnostic exam of bladder and urethra using an endoscope	100	80	$637.00	$263.42
51702 Simple insertion of temporary bladder tube	69	26	$221.00	$70.52
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	68	27	$100.00	$36.29
J1580 Injection, garamycin, gentamicin, up to 80 mg	52	17	$2.00	$1.81
99213 Established patient office or other outpatient visit, typically 15 minutes	42	42	$161.00	$98.89
51700 Simple bladder irrigation and/or instillation	39	14	$260.00	$88.00
99221 Initial hospital inpatient care per day, typically 30 minutes	31	31	$218.00	$106.31
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	30	11	$446.00	$143.20
81002 Urinalysis, manual test	17	13	$7.00	$3.48
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	13	$726.00	$123.59
76872 Ultrasound scan of pelvic region through rectum	14	14	$335.00	$148.22
52648 Laser vaporization of prostate including control of bleeding using an endoscope	13	13	$1788.00	$742.46
55700 Biopsy of prostate gland	13	13	$777.00	$277.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,340	731	$7.89	$2.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	900	554	$234.52	$118.92
51798 Ultrasound measurement of bladder capacity after voiding	888	525	$66.08	$11.69
99213 Established patient office or other outpatient visit, typically 15 minutes	430	376	$124.23	$80.83
J1644 Injection, heparin sodium, per 1000 units	351	13	$0.40	$0.25
76775 Limited ultrasound scan behind abdominal cavity	332	232	$283.23	$65.35
36415 Insertion of needle into vein for collection of blood sample	224	192	$9.25	$2.99
J1020 Injection, methylprednisolone acetate, 20 mg	172	13	$6.00	$3.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	163	46	$75.09	$15.68
52000 Diagnostic exam of bladder and urethra using an endoscope	109	84	$602.21	$234.97
51702 Simple insertion of temporary bladder tube	86	29	$225.42	$68.85
99443 Telephone medical discussion with physician, 21-30 minutes	79	61	$242.00	$119.72
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	67	13	$401.21	$221.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$355.09	$180.28
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	54	21	$109.26	$35.48
J1580 Injection, garamycin, gentamicin, up to 80 mg	51	17	$3.96	$1.93
99221 Initial hospital inpatient care per day, typically 30 minutes	45	45	$206.80	$110.66
J1885 Injection, ketorolac tromethamine, per 15 mg	45	11	$2.73	$0.57
51700 Simple bladder irrigation and/or instillation	39	16	$249.74	$84.90
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	25	12	$250.00	$141.87
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	19	$656.33	$135.35
81002 Urinalysis, manual test	23	20	$11.57	$3.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$187.75	$117.18
50590 Shock wave crushing of kidney stones	12	11	$1759.00	$636.77
52648 Laser vaporization of prostate including control of bleeding using an endoscope	12	12	$2125.17	$722.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,667	896	$14.00	$2.42
99213 Established patient office or other outpatient visit, typically 15 minutes	1,529	918	$110.00	$79.75
51798 Ultrasound measurement of bladder capacity after voiding	1,249	699	$84.00	$14.30
J1644 Injection, heparin sodium, per 1000 units	590	28	$0.90	$0.20
76775 Limited ultrasound scan behind abdominal cavity	385	263	$342.00	$63.68
J1020 Injection, methylprednisolone acetate, 20 mg	295	28	$6.00	$3.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	141	$165.00	$116.57
52000 Diagnostic exam of bladder and urethra using an endoscope	144	100	$400.00	$208.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	123	42	$65.00	$18.24
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	105	15	$625.00	$224.59
51702 Simple insertion of temporary bladder tube	90	49	$240.00	$68.80
81002 Urinalysis, manual test	86	52	$14.00	$3.37
36415 Insertion of needle into vein for collection of blood sample	82	78	$14.00	$2.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$180.00	$117.72
J1580 Injection, garamycin, gentamicin, up to 80 mg	68	31	$12.00	$1.79
51700 Simple bladder irrigation and/or instillation	65	31	$210.00	$82.85
J1885 Injection, ketorolac tromethamine, per 15 mg	62	11	$7.50	$0.51
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	54	20	$150.00	$34.10
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	52	25	$250.00	$142.63
99221 Initial hospital inpatient care per day, typically 30 minutes	37	36	$140.00	$108.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$250.00	$177.86
74018 X-ray of abdomen, 1 view	28	22	$88.00	$30.28
52648 Laser vaporization of prostate including control of bleeding using an endoscope	27	27	$2400.00	$727.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	20	$68.00	$42.07
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	16	$844.64	$130.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	18	$95.00	$77.68
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	18	13	$1032.00	$288.53
76872 Ultrasound scan of pelvic region through rectum	17	17	$358.00	$142.18
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	13	$880.00	$298.64
50590 Shock wave crushing of kidney stones	16	16	$1900.00	$629.47
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	13	$775.00	$474.05
51701 Insertion of temporary bladder tube	15	13	$175.00	$49.26
55700 Biopsy of prostate gland	13	13	$470.00	$277.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,660	13	$24.97	$17.86
81003 Automated urinalysis test	1,476	765	$14.00	$2.68
99213 Established patient office or other outpatient visit, typically 15 minutes	1,375	794	$110.00	$75.12
51798 Ultrasound measurement of bladder capacity after voiding	1,070	574	$84.00	$17.15
J1644 Injection, heparin sodium, per 1000 units	570	29	$0.90	$0.19
76775 Limited ultrasound scan behind abdominal cavity	295	214	$342.00	$60.93
J1020 Injection, methylprednisolone acetate, 20 mg	281	29	$6.00	$4.78
36415 Insertion of needle into vein for collection of blood sample	202	168	$14.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	161	135	$71.00	$22.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	154	66	$65.00	$21.27
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	134	21	$625.00	$212.63
52000 Diagnostic exam of bladder and urethra using an endoscope	133	98	$400.00	$176.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	92	$165.00	$110.76
J1885 Injection, ketorolac tromethamine, per 15 mg	116	21	$7.50	$0.57
81002 Urinalysis, manual test	89	58	$14.00	$3.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$180.00	$110.77
J1580 Injection, garamycin, gentamicin, up to 80 mg	71	35	$12.00	$1.45
99221 Initial hospital inpatient care per day, typically 30 minutes	67	66	$140.00	$103.24
51700 Simple bladder irrigation and/or instillation	64	36	$210.00	$77.28
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	63	28	$150.00	$32.70
51702 Simple insertion of temporary bladder tube	63	35	$240.00	$68.77
74018 X-ray of abdomen, 1 view	41	28	$88.00	$28.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	24	$68.00	$40.32
76770 Complete ultrasound scan behind abdominal cavity	34	33	$342.00	$122.34
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	21	$839.22	$120.76
51701 Insertion of temporary bladder tube	25	17	$175.00	$50.31
50590 Shock wave crushing of kidney stones	24	23	$1900.00	$604.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	21	$95.00	$74.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$250.00	$171.42
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	20	13	$250.00	$139.03
84403 Testosterone (hormone) level, total	19	14	$71.00	$29.88
52648 Laser vaporization of prostate including control of bleeding using an endoscope	17	16	$2400.00	$718.16
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	16	$880.00	$261.35
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	16	$750.00	$441.14
76872 Ultrasound scan of pelvic region through rectum	13	13	$358.00	$103.06
55700 Biopsy of prostate gland	12	12	$470.00	$267.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	5,280	13	$19.14	$16.49
81003 Automated urinalysis test	1,581	831	$14.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	1,462	828	$110.00	$72.09
51798 Ultrasound measurement of bladder capacity after voiding	1,102	608	$84.00	$20.04
J1644 Injection, heparin sodium, per 1000 units	470	26	$0.90	$0.20
76770 Complete ultrasound scan behind abdominal cavity	354	235	$342.00	$114.95
J1020 Injection, methylprednisolone acetate, 20 mg	235	26	$6.00	$4.94
36415 Insertion of needle into vein for collection of blood sample	203	154	$14.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	189	145	$71.00	$24.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	173	56	$65.00	$25.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	123	$165.00	$102.99
52000 Diagnostic exam of bladder and urethra using an endoscope	135	94	$400.00	$166.45
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	130	14	$625.00	$208.94
81002 Urinalysis, manual test	92	54	$14.00	$3.43
51702 Simple insertion of temporary bladder tube	88	51	$240.00	$63.88
J1580 Injection, garamycin, gentamicin, up to 80 mg	80	40	$12.00	$1.48
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	74	22	$150.00	$32.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$180.00	$107.26
51700 Simple bladder irrigation and/or instillation	68	44	$210.00	$70.75
J1885 Injection, ketorolac tromethamine, per 15 mg	56	14	$7.50	$0.64
74000 X-ray of abdomen, single view	53	35	$88.00	$23.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	39	$68.00	$38.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	48	$95.00	$70.25
99221 Initial hospital inpatient care per day, typically 30 minutes	38	37	$140.00	$99.11
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	37	14	$250.00	$130.05
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	35	11	$130.00	$75.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$250.00	$162.45
52332 Insertion of stent in urinary duct (ureter) using an endoscope	30	20	$852.50	$124.71
52356 Crushing of stone of ureter with insertion of stent using an endoscope	24	22	$785.94	$433.99
52648 Laser vaporization of prostate including control of bleeding using an endoscope	23	23	$2400.00	$691.94
50590 Shock wave crushing of kidney stones	20	18	$1900.00	$565.03
84403 Testosterone (hormone) level, total	20	16	$71.00	$34.70
51701 Insertion of temporary bladder tube	18	13	$175.00	$47.87
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	16	$880.00	$245.04
76872 Ultrasound scan of pelvic region through rectum	12	12	$358.00	$96.03
55700 Biopsy of prostate gland	11	11	$470.00	$250.60

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CT 041997

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Trinity Health Of New England Provider Network Organization Inc

56 Franklin St, Waterbury, CT 067061253

Phone: 2037096000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners

Dr. Sagar Phatak , MD

Urology

NPI 1023033149

Doctor of Medicine (M.D.)

Dr. Robert Feldman , MD

Urology

NPI 1023072279

Doctor of Medicine (M.D.)

Elizabeth Pereira , APRN

Nurse Practitioner - Family

NPI 1083381966

Advanced Practice Registered Nurse

Dr. York Moy , MD

Urology

NPI 1083678247

Doctor of Medicine (M.D.)

Cameron Bain

Nurse Practitioner - Family

NPI 1134062805

Amanda Fernandes , APRN

Nurse Practitioner - Family

NPI 1205677945

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 10, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 10, 2008

Registered at 1579 STRAITS TPKE, SUITE 2A, MIDDLEBURY, CT 067621835 (Tel: 2037578361)

📍

Updated Business Mailing Address September 10, 2008

Registered at 1579 STRAITS TPKE, SUITE 2A, MIDDLEBURY, CT 067621835 (Tel: 2037578361)

👤

Provider Name / Credentials Updated September 10, 2008

Recorded as ANTHONY KIM, M. D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2008

Urology (License #041997 in CT)

🟢

Initial NPI Registration & Enumeration April 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1205890381

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 14, 2006

Last Update: September 10, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1579 Straits Tpke, Suite 2a

Middlebury, CT 067621835

Phone: 2037578361

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.