Organization
ALLERGY, ASTHMA, IMMUNOLOGY CLIFTON PARK
Active
Organization
ALLERGY, ASTHMA, IMMUNOLOGY CLIFTON PARK
Active
Parent organization
CAPITALCARE MEDICAL GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITALCARE MEDICAL GROUP, LLC
Authorized official
DR. KEMP W BUNDY MD (SITE MEDICAL DIRECTOR)
(518) 724-1060
Entity
Organization
Contact information
Practice address
939 ROUTE 146, SUITE 810, CLIFTON PARK, NY 12065-3662
(518) 724-1060
(518) 724-1070
Mailing address
939 ROUTE 146, SUITE 810, CLIFTON PARK, NY 12065-3662
(518) 724-1060
(518) 724-1070
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
235119
NY
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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