Organization
ALDEN MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YELLAMRAJU R KUMAR MD (PARTNER)
(716) 937-3255
Entity
Organization
Contact information
Practice address
12845 BROADWAY, ALDEN, NY 14004-1223
(716) 937-3255
(716) 204-7481
Mailing address
12845 BROADWAY, ALDEN, NY 14004-1223
(716) 937-3255
(716) 204-7481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NY
207R00000X
Internal Medicine Physician
Primary
—
NY
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/10/2006
Last updated
06/25/2015
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