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1750310348
MATTHEW T WIZA
BROCKPORT, NY
NPI
1750310348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 235386)
Enumeration Date
2006-07-03
Last Update Date
2021-04-28
Business Address
MATTHEW T WIZA DO
6668 FOURTH SECTION ROAD
BROCKPORT, NY 14420
Phone number: 585-368-6870
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Mailing Address
MATTHEW T WIZA DO
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-922-0553
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