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Urology Specialists, P.C.


To request an appointment, please send a request using the form below, or call 1.877.UROLOGY, extension 315.
Name:

Email Address:

Phone Number:

Reason for appointments:

Priority:

Please make my appointment for:

As soon as possible Within 7 business days Next week
This month Next month Within 3 months
Within a year

My preferred appointment times are:

From: To:
or
From: To:

My preferred healthcare provider is:

Dr. Michael Flanagan Dr. Robert Feldman Dr. Anthony Kim
Dr. Joseph Antoci Dr. York P. Moy
Lisa Oliveira, APRN Dr. Stephen B. Siegel

Note: We will try to accommodate your request as best we can. Please allow us to respond back to your inquiry within 48 hours. Please make sure you provide us all the appropriate information. Thank you.


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Urology Specialists, P.C.

Main office:
1579 Straits Turnpike, Suite 2A, Middlebury CT 06762
[ map ]

Pomperaug Office Park, Building 2, Southbury, CT
[ map ]

Tel: 203.757.8361
Fax: 203.754.9126

Connecticut Clinical Research Center
A Division of Urology Specialists
1579 Straits Turnpike, Suite 2A, Middlebury CT 06762
Tel: 203.754.3588
Fax: 203.757.2296
Toll free: 1.877.876.5649 (1.877.UROLOGY)

Connecticut Center for Continence
1579 Straits Turnpike, Suite 2A, Middlebury CT 06762
Toll Free: 1.800.757.8361