Individual
DR. ALAN G. WITHIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1083 WATERLOO GENEVA RD, WATERLOO, NY 13165-1202
(607) 869-5609
(607) 869-5303
Mailing address
4314 SWAMP COLLEGE RD, TRUMANSBURG, NY 14886-9165
(607) 387-3655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
155579
NY
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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