Provider Demographics
NPI:1881666311
Name:ABBOTT, ALBERT E JR (MD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:E
Last Name:ABBOTT
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:214 CORNELIA ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-2306
Mailing Address - Country:US
Mailing Address - Phone:518-562-7993
Mailing Address - Fax:518-562-7064
Practice Address - Street 1:214 CORNELIA ST
Practice Address - Street 2:SUITE 201
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2306
Practice Address - Country:US
Practice Address - Phone:518-562-7993
Practice Address - Fax:518-562-7064
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2010-04-26
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Provider Licenses
StateLicense IDTaxonomies
SC27545208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)