Organization
SAMUEL S CALDWELL, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL S CALDWELL MD (OWNER)
(518) 584-0295
Entity
Organization
Contact information
Practice address
19 WEST AVE, STE 102, SARATOGA SPRINGS, NY 12866-6049
(518) 584-0295
(518) 584-0296
Mailing address
19 WEST AVE, STE 102, SARATOGA SPRINGS, NY 12866-6049
(518) 584-0295
(518) 584-0296
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
147389
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000406955001
BLUE SHIELD
—
01
—
0069716
GHI
—
05
—
00733124
—
NY
01
—
113749
WELLCARE
—
01
—
18120
MVP
—
01
—
2582
CDPHP
—
01
—
85E121
BLUE CROSS
—
Enumeration date
09/07/2007
Last updated
09/07/2007
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