Wallin J Litwa DO

NPI 1093728826 - Family Medicine - 207Q00000X

NPI Details
NPI 1093728826
Gender Male
Enumeration Date 08/14/2006
Last Updated 08/25/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
711 TROY SCHENECTADY RD
SUITE 102
LATHAM NY, 12110-2442, US
Phone (518) 783-3110
Fax (518) 782-7988
Business Location
711 TROY SCHENECTADY RD
SUITE 203
LATHAM NY, 12110-2442, US
Phone (518) 782-3700
Fax (518) 782-3799
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 125382
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According to our database, Wallin J Litwa DO NPI is 1093728826, taxonomy code is 207Q00000X and license number is 125382, license state is located at New York. Wallin J Litwa DO physically located at 711 Troy Schenectady Rd, Latham NY, 12110-2442. NPI Number Wallin J Litwa DO has the Individual type.

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1093728826 NPI number is provided on an as is basis without warranty of any kind. 1093728826 is maintained by the National Plan & Provider Enumeration System. The contents of Wallin J Litwa DO are for informational purposes only.