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Individual

DR. ROGER P VERMILION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 ELMWOOD AVE, BOX 631, ROCHESTER, NY 14642-0001
(585) 275-6108
(585) 442-0104
Mailing address
601 ELMWOOD AVE, BOX 631, ROCHESTER, NY 14642-0001
(585) 275-6108
(585) 275-2352

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
208189
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01797364
NY
Enumeration date
06/06/2006
Last updated
11/27/2009
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