Advanced Urology of New England, LLC
Organization Active NPI Specialist · East Longmeadow, MA
NPI 1235569898 · NPPES record last updated Feb 25, 2014
Key facts
- NPI
- 1235569898
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 238159 (MA)
- Legal business name
- ADVANCED UROLOGY OF NEW ENGLAND, LLC
- Practice address
- 40 Crane Ave
East Longmeadow, MA 01028-2335 - Phone
- (413) 318-4670
- Fax
- (413) 754-0221
- NPI assigned
- Nov 19, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Jacqueline E Brecht
- Title
- MD
- Phone
- (413) 318-4670
Practitioners 6
-
Aroosa Alam, MD
-
Muhammad A Gul, MD
-
Anne G Jacque, R.D.
-
Sheila Whelan, ANP-BC
-
Ghadeer Z Mazloum, PA-C
National Provider Directory
Locations
40 Crane Ave
East Longmeadow, MA 01028
Phone (413) 318-4670
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 238159 | MA | Yes |
Addresses
Primary practice location
40 Crane Ave
East Longmeadow, MA 01028-2335
Mailing address
40 Crane Ave
East Longmeadow, MA 01028-2335
Phone (413) 318-4670
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All providers in East Longmeadow, MA · Specialist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.