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Individual

DR. THOMAS E COUCH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2121 6TH AVE, TROY, NY 12180-2849
(518) 272-0881
(518) 272-0965
Mailing address
PO BOX 13694, ALBANY, NY 12212-3694
(518) 272-0881
(518) 272-0965

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
002433-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00414622
NY
Enumeration date
03/28/2006
Last updated
01/14/2010
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