Individual
ALBERT BRUEN KOCHERSPERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 NORTH BROAD STREET, NORWICH, NY 13815-1391
(607) 334-5852
(607) 334-6022
Mailing address
110 NORTH BROAD STREET, NORWICH, NY 13815-1347
(607) 336-1669
(607) 334-6022
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
108711
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00573946
—
NY
01
—
161004652K01
BC BS EXCELLUS
NY
Enumeration date
12/27/2006
Last updated
07/08/2007
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