Individual
DR. LAWRENCE J ROUTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711
Mailing address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
138025-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084108
GHI HMO
—
01
—
000405089001
BLUE SHIELD NENY
—
01
—
000405089003
BLUE SHIELD NENY
—
05
—
00392883
—
NY
01
—
00A29
EMPIRE BLUE CROSS
—
01
—
040426006821
FIDELIS
—
01
—
05112
MVP
—
01
—
10001755
CDPHP
—
01
—
110160500
US DEPT OF LABOR
—
01
—
138025-1
TRICARE NORTH REGION
—
01
—
33570Q
FIDELIS MEDICARE
—
01
—
9701846
GHI
—
01
—
B80762
AMERICAN PROGRESSIVE TODA
—
01
—
CAN1380252
WORKERS COMP
—
01
—
LR000A2910
EMPIRE BLUE CROSS
—
01
—
LR000A2920
EMPIRE BLUE CROSS
—
Enumeration date
07/29/2005
Last updated
01/27/2011
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