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Organization
JAMES D KONDRUP M.D, PC
Active
Organization
JAMES D KONDRUP M.D, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DANA KONDRUP M.D (DIRECTOR)
(607) 797-7070
Entity
Organization
Contact information
Practice address
200 PLAZA DR, SUITE A, VESTAL, NY 13850-3680
(607) 797-7070
(607) 797-9048
Mailing address
200 PLAZA DR, SUITE A, VESTAL, NY 13850-3680
(607) 797-7070
(607) 797-9048
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1774463
NY
Other
Enumeration date
09/14/2006
Last updated
06/17/2008
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