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Organization

CARONDELET REGIONAL MEDICAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD N MARSH M.D. (PRESIDENT)
(518) 843-6914
Entity
Organization

Contact information

Practice address
3768 STATE HIGHWAY 30, BROADALBIN HEALTH CENTER, BROADALBIN, NY 12025-0923
(518) 883-3121
(518) 883-8268
Mailing address
427 GUY PARK AVE, AMSTERDAM, NY 12010-1064
(518) 841-7401
(518) 841-7404

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
208600000X
Surgery Physician
208D00000X
General Practice Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
01/26/2017
Last updated
05/22/2023
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