Organization
BEAUMONT GASTROENTEROLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAOLO FEDI M.D. (PRESIDENT)
(518) 561-8679
Entity
Organization
Contact information
Practice address
14 DURKEE ST, SUITE 125, PLATTSBURGH, NY 12901-2989
(518) 310-3890
(518) 536-9066
Mailing address
168 US OVAL, PLATTSBURGH, NY 12903-3900
(518) 310-3890
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
230138
NY
Other
Enumeration date
04/30/2015
Last updated
06/01/2015
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