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Individual
JOHN K MAESAKA
Active
Individual
JOHN K MAESAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
100559
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00928978
—
NY
01
—
10491029
CAQH
NY
Enumeration date
04/14/2006
Last updated
03/07/2023
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