Carondelet Regional Medical, PC

NPI #1275225096 in Amsterdam, New York

Provider Information

NPI Number
1275225096
Entity Type
Organization
Organization Name
Carondelet Regional Medical, PC
Subpart
Yes (part of a larger organization)
Parent Organization
CARONDELET REGIONAL MEDICAL, PC
Primary Specialty
Family Medicine
Enumeration Date
May 22, 2023
Last Updated
May 22, 2023

Practice Location

Address
119 HOLLAND CIRCLE DR
ZIP Code
12010-7550
Phone
(518) 843-4522

Authorized Official

Name
RONALD N MARSH, MD
Title
AUTHORIZED OFFICIAL
Phone
(518) 843-6914

Specialties & Taxonomy Codes

Specialty
Family Medicine

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