Individual
DOUGLAS BEATY FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 MYRTLE AVE, ALBANY, NY 12208-3303
(518) 321-8582
Mailing address
540 MYRTLE AVE, ALBANY, NY 12208-3303
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
8653218-1205
UT
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
8653218-1205
UT
Other
Enumeration date
05/04/2010
Last updated
12/06/2021
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