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Organization
FAMILY PRACTICE MCCLELLAN
Active
Organization
FAMILY PRACTICE MCCLELLAN
Active
Parent organization
CAPITALCARE MEDICAL GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITALCARE MEDICAL GROUP, LLC
Authorized official
DR. JOSEPH P FUSELLA DO (SITE MEDICAL DIRECTOR)
(518) 346-3222
Entity
Organization
Contact information
Practice address
600 MCCLELLAN ST, MSGR. KEANE PAVILLION, SCHENECTADY, NY 12304-1009
(518) 346-3222
(518) 346-2436
Mailing address
600 MCCLELLAN ST, MSGR. KEANE PAVILLION, SCHENECTADY, NY 12304-1009
(518) 346-3222
(518) 346-2436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
174880
NY
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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