Irondequoit Pediatrics, Pllc

NPI 1164727475 - Pediatrics - 208000000X

NPI Details
NPI 1164727475
Enumeration Date 01/18/2011
Last Updated 01/18/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DOUGLAS DOUGLAS
Position OWNER
Phone (585) 266-0310
Fax (585) 266-9207
Practice Location
485 TITUS AVE
SUITE F
ROCHESTER NY, 14617-3535, US
Phone (585) 266-0310
Fax (585) 266-9207
Business Location
485 TITUS AVE
SUITE F
ROCHESTER NY, 14617-3535, US
Phone (585) 266-0310
Fax (585) 266-9207
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Irondequoit Pediatrics, Pllc NPI is 1164727475, taxonomy code is 208000000X Irondequoit Pediatrics, Pllc physically located at 485 Titus Ave, Rochester NY, 14617-3535. NPI Number 1033115704 has the healthcare provider type.

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1164727475 NPI number is provided on an as is basis without warranty of any kind. 1164727475 is maintained by the National Plan & Provider Enumeration System. The contents of Irondequoit Pediatrics, Pllc are for informational purposes only.