Organization
CAP MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D AMIDON D.O. (MANAGING MEMBER)
(315) 738-1662
Entity
Organization
Contact information
Practice address
2 ELLINWOOD DR, NEW HARTFORD, NY 13413-1102
(315) 507-5081
(315) 738-1663
Mailing address
PO BOX 4272, ROME, NY 13442-4272
(315) 336-0759
(315) 338-5407
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/13/2010
Last updated
10/25/2012
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