Individual
MR. JOSEPH A. DUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
99 E STATE ST, GLOVERSVILLE, NY 12078-1203
(518) 773-5559
(518) 773-5601
Mailing address
99 EAST STATE STREET, PO BOX 1250, GLOVERSVILLE, NY 12078-0010
(518) 775-4205
(518) 775-4225
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
499310
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000408720002
BSH NE NY
NY
01
—
3001951
MVP HEALTH PLAN
NY
Enumeration date
08/25/2006
Last updated
07/22/2015
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