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Individual

JUSTIN DAVID SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-8138
Mailing address
601 ELMWOOD AVE BOX 635, ROCHESTER, NY 14642-0001
(585) 275-8138

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301114195
MI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
287364
NY

Other

Enumeration date
05/25/2015
Last updated
06/28/2023
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