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Individual

DR. JAMES DAUBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 ELMWOOD AVE, BOX 679B, ROCHESTER, NY 14642-0001
(585) 275-4751
Mailing address
601 ELMWOOD AVE, BOX 679B, ROCHESTER, NY 14642-0001

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
189260
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00040072701
UNIVERA
NY
05
01340454
NY
01
2190405
INDEPENDENT HEALTH
NY
01
4459164
AETNA
NY
01
6607
BLUE SHIELD
NY
01
MD451R
PREFERRED CARE
NY
01
NY0063123
CHAMPUS
NY
Enumeration date
06/05/2006
Last updated
07/08/2007
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