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Organization
RAJA KOLISETTI
Active
Organization
RAJA KOLISETTI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJA KOLISETTI MD (PHYSICIAN)
(585) 591-6000
Entity
Organization
Contact information
Practice address
107 PROSPECT ST, ATTICA, NY 14011-1149
(585) 591-6000
(585) 591-6962
Mailing address
PO BOX 333, BATAVIA, NY 14021-0333
(585) 591-6000
(585) 591-6962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
185959
NY
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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