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Individual

MR. RAUL CALLOWICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPA-C

Contact information

Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 341-0657
Mailing address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
016247
NY
363L00000X
Nurse Practitioner
16247
NY

Other

Enumeration date
01/16/2013
Last updated
07/07/2023
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