Organization
ALBANY MEDICAL COLLEGE
Active
Organization
ALBANY MEDICAL COLLEGE
Active
Other names
AMC General Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN BOULOS MD (DEAN ALBANY MEDICAL COLLEGE)
(518) 262-6008
Entity
Organization
Contact information
Practice address
1365 WASHINGTON AVE STE 204, ALBANY, NY 12206-1098
(518) 464-1392
Mailing address
PO BOX 416760, BOSTON, MA 02241-6760
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/17/2015
Last updated
10/18/2024
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