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Individual

MR. ADEEL A JANJUA I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OWNER

Contact information

Practice address
17 ROOSEVELT ST, ALBANY, NY 12206
(518) 764-5163
Mailing address
17 ROOSEVELT ST, ALBANY, NY 12206-1407
(518) 764-5163

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
81-1354556
NY

Other

Enumeration date
09/23/2016
Last updated
09/23/2016
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