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1013560846
MAXWELL JOSEPH MODRAK
ROCHESTER, NY
NPI
1013560846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-07-21
Last Update Date
2020-04-25
Business Address
MAXWELL JOSEPH MODRAK MD
601 ELMWOOD AVE
ROCHESTER, NY 14642-0001
Phone number: 585-275-2100
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Mailing Address
MAXWELL JOSEPH MODRAK MD
155 EDGEMONT RD
ROCHESTER, NY 14620-4521
Phone number: 585-613-1148
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