Organization
FAMILY MEDICINE MEDICAL SERVICE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W. EPLING JR. MD (DEPARTMENT CHAIR)
(315) 464-7003
Entity
Organization
Contact information
Practice address
475 IRVING AVE, STE 300, SYRACUSE, NY 13210
(315) 464-4686
(315) 464-7106
Mailing address
475 IRVING AVE, STE 300, SYRACUSE, NY 13210
(315) 464-4686
(315) 464-7106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00482320
—
NY
Enumeration date
07/17/2006
Last updated
09/27/2011
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