Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Twin River Urology

Organization Urology Physician · NPI 1205941879

Twin River Urology is an Urology Physician in White River Jct, Vermont. Licensed in New Hampshire and Vermont. Registered with an NPI since 2006.

Licensed in
NH, VT
In the registry since
2006
Specialties on file
2

Practice location Address checks out

108 No Main St Twin River Urology
White River Jct, VT 05001
Phone: (802) 296-7370
Fax: (802) 296-7174
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 0420008456 (VT)
Urology Physician Taxonomy 208800000X · Licence 8746 (NH)

Record details

NPI number1205941879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Detzer — Bus Manager · (802) 296-7370
NPI enumeratedAugust 21, 2006
Last updated in NPPESJuly 17, 2007
Mailing address108 No Main St, Twin River Urology, White River Jct, VT 05001