Organization
ENDOCRINOLOGY TROY
Active
Parent organization
CAPITALCARE MEDICAL GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITALCARE MEDICAL GROUP, LLC
Authorized official
DIANE E BELLANGER (CREDENTIALING COORDINATOR)
(518) 452-1337
Entity
Organization
Contact information
Practice address
1304 PARK BLVD, TROY, NY 12180-1403
(518) 273-3755
(518) 273-6865
Mailing address
1304 PARK BLVD, TROY, NY 12180-1403
(518) 273-3755
(518) 273-6865
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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