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Individual
JOHN VISCOVICH
Active
Individual
JOHN VISCOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005723 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02264060
—
NY
Enumeration date
08/08/2006
Last updated
09/27/2012
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