Individual
JOHAN BLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-8648
(585) 275-2734
(585) 273-1033
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-8648
(585) 275-2734
(585) 273-1033
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
44956
MA
2085R0202X
Diagnostic Radiology Physician
Primary
44956
MA
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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