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1457492688
JEFFREY D AMIDON
ROME, NY
NPI
1457492688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 192498-1)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
-- JEFFREY D AMIDON D.O.
801 N JAMES ST
ROME, NY 13440-3524
Phone number: 315-337-0550
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Mailing Address
-- JEFFREY D AMIDON D.O.
8293 TURIN RD
ROME, NY 13440-1913
Phone number:
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