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Individual

EDWARD J MATHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
601 ELMWOOD AVE, BOX 648, ROCHESTER, NY 14642-0001
(585) 785-5000
(585) 273-1033
Mailing address
601 ELMWOOD AVE, BOX 648, ROCHESTER, NY 14642-0001
(585) 175-2482
(585) 473-5734

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001682
NY
363AM0700X
Medical Physician Assistant
1682
NY

Other

Enumeration date
09/15/2006
Last updated
07/03/2023
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