Individual
ROBERT GEORGE KERCULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
195 CHURCH ST, SARATOGA SPRINGS, NY 12866-1009
(518) 587-8887
(518) 583-9294
Mailing address
195 CHURCH ST, SARATOGA SPRINGS, NY 12866-1009
(518) 587-8887
(518) 583-9294
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
097868
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00525228
—
NY
01
—
201002419
PALMETTO/GBA/RR MEDICARE
NY
Enumeration date
07/12/2005
Last updated
10/10/2008
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