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Organization
ENDOCRINOLOGY TROY
Active
Organization
ENDOCRINOLOGY TROY
Active
Parent organization
CAPITALCARE MEDICAL GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITALCARE MEDICAL GROUP, LLC
Authorized official
DIANE E BELLANGER (CREDENTIALING COORDINATOR)
(518) 452-1337
Entity
Organization
Contact information
Practice address
1304 PARK BLVD, TROY, NY 12180-1403
(518) 273-3755
(518) 273-6865
Mailing address
1304 PARK BLVD, TROY, NY 12180-1403
(518) 273-3755
(518) 273-6865
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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