Carondelet Regional Medical, PC

NPI #1972296630 in Broadalbin, New York

Provider Information

NPI Number: 1972296630
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 30, 2023
Last Updated: May 30, 2023

Practice Location

Address: 3768 STATE HIGHWAY 30
City: Broadalbin
State: New York
ZIP Code: 12025-0923
Phone: (518) 883-3121

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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