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1174745285
PORTLAND PEDIATRIC GROUP, LLP
ROCHESTER, NY
NPI
1174745285
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Entity Type
Organization
Authorized Contact
RODERICK G DAVIS
President
585-342-5694
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 207792)
Enumeration Date
2007-05-02
Last Update Date
2012-08-31
Business Address
PORTLAND PEDIATRIC GROUP, LLP
1700 HUDSON AVE
ROCHESTER, NY 14617-5104
Phone number: 585-342-5694
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Mailing Address
PORTLAND PEDIATRIC GROUP, LLP
1700 HUDSON AVE
ROCHESTER, NY 14617-5104
Phone number: 585-342-5694
Copy
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