Organization
CAPITAL DISTRICT GASTROENTEROLOGY & LIVER DISEASE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H. PULEO MD (PRESIDENT)
(518) 489-7491
Entity
Organization
Contact information
Practice address
1 S PINE AVE, ALBANY, NY 12208-2212
(518) 489-7491
(518) 489-3439
Mailing address
1 S PINE AVE, ALBANY, NY 12208-2212
(518) 489-7491
(518) 489-3439
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
088175-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00510292
—
NY
Enumeration date
05/23/2007
Last updated
02/05/2009
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