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Individual
DR. ROGER WETHERBEE
Active
Individual
DR. ROGER WETHERBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
118155-1
NY
207RI0200X
Infectious Disease Physician
118155-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00718709
—
NY
01
—
124439
AETNA
NY
01
—
139168
UNITED HEALTHCARE
NM
01
—
970611
BLUE CROSS
NY
01
—
NP1235
OXFORD
NY
Enumeration date
09/15/2006
Last updated
10/20/2015
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