Individual
DR. TODD D DUTHALER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
211 CHURCH ST, SARATOGA SPRINGS, NY 12866
(518) 587-1141
Mailing address
53 SPRING ST, SARATOGA SPRINGS, NY 12866
(518) 587-1141
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
213772
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995266
—
NY
01
—
BB5896
MEDICARE
NY
Enumeration date
06/18/2006
Last updated
07/08/2007
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