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Family Medicine Physician

NPI: 1104068667IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

267481(NY)

CMS Specialties

PrimaryFAMILY PRACTICE

Education

OTHER

Class of 2003

Contact & Hours

Address: 49 LAWRENCE AVE
POTSDAM, NY 13676
Phone: (315) 261-5550

Quick Facts

NPI: 1104068667
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 23

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