Organization
ATUL BUTALA PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATUL V BUTALA MD FACP (PRESIDENT)
(315) 798-9300
Entity
Organization
Contact information
Practice address
807 NEWELL STREET, UTICA, NY 13502
(315) 798-9300
(315) 793-8320
Mailing address
807 NEWELL STREET, UTICA, NY 13502
(315) 798-9300
(315) 793-8320
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00997719
—
NY
Enumeration date
11/06/2006
Last updated
08/22/2020
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