Individual
DR. DOUGLAS T PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 HOLLAND AVE, PULMONARY (111E), ALBANY, NY 12208-3410
(518) 626-6406
(518) 626-6464
Mailing address
1 FENWAY CT, LOUDONVILLE, NY 12211-1467
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
161827
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01147171
—
NY
Enumeration date
05/15/2006
Last updated
07/10/2007
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