Individual
JOHN D MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 LATTIMORE RD, SUITE 100, ROCHESTER, NY 14620-4159
(585) 473-1033
(585) 473-8605
Mailing address
125 LATTIMORE RD, SUITE 100, ROCHESTER, NY 14620-4159
(585) 473-1033
(585) 473-8605
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
131494-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00609590
—
NY
01
—
102282
PREFERRED CARE
NM
01
—
200041061
MEDICARE RAILROAD
NY
01
—
5010331
AETNA
NY
01
—
P010131494
EXCELLUS BC BS
NY
01
—
P101131494
CROSSBRIDGE PHYSICIANS
NY
01
—
RC60131494
RCIPA, INC.
NY
Enumeration date
02/27/2006
Last updated
12/08/2009
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