Organization
NEWTONVILLE PEDIATRICS & INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNE MARIE FOGARTY MD (OWNER)
(518) 783-1445
Entity
Organization
Contact information
Practice address
564 NEW LOUDON RD, LATHAM, NY 12110-5336
(518) 783-1445
(518) 783-4622
Mailing address
564 NEW LOUDON RD, LATHAM, NY 12110-5336
(518) 783-1445
(518) 783-4622
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
195064
NY
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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