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Individual

JONATHAN MATTHEW SOH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
505 BEAHAN RD, ROCHESTER, NY 14624-3403
(716) 755-6647
(716) 755-6648
Mailing address
505 BEAHAN RD, ROCHESTER, NY 14624-3403
(585) 877-6647
(585) 877-6648

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
290940
NY
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
290940
NY

Other

Enumeration date
05/02/2016
Last updated
08/08/2024
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