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1497709232
FRED C STORM
ALBANY, NY
NPI
1497709232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: NY 100428)
Enumeration Date
2006-05-19
Last Update Date
2011-12-13
Business Address
-- FRED C STORM MD
259 LARK ST
ALBANY, NY 12210-1108
Phone number: 518-434-5678
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Mailing Address
-- FRED C STORM MD
195 BULOCK RD.
SLINGERLANDS, NY 12159
Phone number: 518-439-3011
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