Individual
DR. JOHN MICHAEL PURCELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 ROUTE 9, CLIFTON PARK, NY 12065-5669
(518) 482-1090
Mailing address
1520 ROUTE 9, CLIFTON PARK, NY 12065-5669
(518) 482-1090
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
236184
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11489483
CAQH
NY
Enumeration date
10/26/2006
Last updated
07/08/2007
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