Ford Freeman PA

NPI 1639231343 - Physician Assistant - 363A00000X

NPI Details
NPI 1639231343
Gender Male
Enumeration Date 12/16/2006
Last Updated 12/02/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
200 NORTH ST
GENEVA NY, 14456-1561, US
Phone (315) 787-5100
Fax (315) 787-5108
Business Location
4 COULTER ROAD
CLIFTON SPRINGS NY, 14432, US
Phone (315) 462-3571
Fax (315) 462-7478
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 004858-1
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According to our database, Ford Freeman PA NPI is 1639231343, taxonomy code is 363A00000X and license number is 004858-1, license state is located at New York. Ford Freeman PA physically located at 200 North St, Geneva NY, 14456-1561. NPI Number Ford Freeman PA has the Individual type.

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1639231343 NPI number is provided on an as is basis without warranty of any kind. 1639231343 is maintained by the National Plan & Provider Enumeration System. The contents of Ford Freeman PA are for informational purposes only.