Organization
CAPITAL DISTRICT SURGICAL ASSOCIATES, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KEVIN GEBERT M.D. (PARTNER)
(518) 272-0171
Entity
Organization
Contact information
Practice address
2231 BURDETT AVE, SUITE 130, TROY, NY 12180-2447
(518) 272-0171
(518) 271-6580
Mailing address
2231 BURDETT AVE, SUITE 130, TROY, NY 12180-2447
(518) 272-0171
(518) 271-6580
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01752712
—
NY
Enumeration date
08/25/2006
Last updated
05/12/2008
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