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Organization

CARONDELET REGIONAL MEDICAL, PC

Active
Parent organization
CARONDELET REGIONAL MEDICAL, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CARONDELET REGIONAL MEDICAL, PC
Authorized official
RONALD N MARSH MD (AUTHORIZED OFFICIAL)
(518) 843-6914
Entity
Organization

Contact information

Practice address
3768 STATE HIGHWAY 30, BROADALBIN, NY 12025-0923
(518) 883-3121
(518) 883-8268
Mailing address
3768 STATE HIGHWAY 30, BROADALBIN, NY 12025-0923
(518) 883-3121
(518) 883-8268

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/30/2023
Last updated
05/30/2023
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