Individual
DR. JUAN P AMPUERO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 PRESIDENTIAL DR, KINDERHOOK, NY 12106-1712
(518) 610-8310
Mailing address
6 PRESIDENTIAL DR, KINDERHOOK, NY 12106-1712
(518) 610-8310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
251145
NY
207L00000X
Anesthesiology Physician
25MA08072400
NJ
Other
Enumeration date
08/23/2006
Last updated
04/19/2010
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