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Organization
THE ENDOCRINE GROUP
Active
Organization
THE ENDOCRINE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FRUITERMAN MD (MANAGING PARTNER)
(518) 489-4704
Entity
Organization
Contact information
Practice address
1365 WASHINGTON AVE, SUITE 300, ALBANY, NY 12206-1098
(518) 489-4704
(518) 489-0512
Mailing address
1365 WASHINGTON AVE, SUITE 300, ALBANY, NY 12206-1098
(518) 489-4704
(518) 489-0512
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/05/2006
Last updated
06/22/2011
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