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Organization

CANTON-POTSDAM HOSPITAL

Active
Parent organization
CANTON-POTSDAM HOSPITAL
Other names
CPH Emergency Physicians
Organization subpart
Yes

Provider details

NPI number
Legal business name
CANTON-POTSDAM HOSPITAL
Authorized official
MR. RICHARD D JACOBS (CFO)
(315) 261-5100
Entity
Organization

Contact information

Practice address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 261-5910
(315) 261-6410
Mailing address
1116 ARSENAL STREET, SUITE 504, WATERTOWN, NY 13601-6120
(315) 782-2620
(315) 788-4980

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
08/21/2013
Last updated
08/21/2013
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