Individual
DONALD JUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 JORDAN RD, SUITE 101, TROY, NY 12180-8343
(518) 274-9126
Mailing address
711 TROY SCHENECTADY RD, SUITE 201, LATHAM, NY 12110-2442
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
147423
NY
207R00000X
Internal Medicine Physician
Primary
147423
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00854893
—
NY
Enumeration date
10/25/2006
Last updated
08/20/2013
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