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1124287651
ROBERT CHARLES WELLIVER
ALBANY, NY
NPI
1124287651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: NY 274981)
Additional Taxonomies
208800000X Urology
(Licence: IL 036-133090)
Enumeration Date
2008-06-09
Last Update Date
2015-01-06
Business Address
Dr. ROBERT CHARLES WELLIVER MD
23 HACKETT BLVD
ALBANY, NY 12208-3436
Phone number: 518-262-3341
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Mailing Address
Dr. ROBERT CHARLES WELLIVER MD
711 TROY SCHENECTADY RD SUITE 203
LATHAM, NY 12110-2442
Phone number: 518-782-3700
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