Individual
DR. MAUREEN KEOGH ARCHAMBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2528 PETERS LANE, NISKEYUNA, NY 12309-2413
(518) 370-1455
(518) 370-2093
Mailing address
2528 PETERS LANE, NISKEYUNA, NY 12309-2413
(518) 370-1455
(518) 370-2093
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
107149
NY
2085R0001X
Radiation Oncology Physician
20020372
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810320
—
NY
Enumeration date
09/07/2006
Last updated
07/08/2007
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