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Individual

ROBERT G HOLLOWAY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2530
(585) 273-1026
Mailing address
PO BOX 278984, ROCHESTER, NY 14627-8984
(585) 273-3507
(585) 276-2162

Taxonomy

Speciality
Code
Description
License number
State
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
192887
NY
2084N0400X
Neurology Physician
Primary
192887
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01419236
NY
Enumeration date
07/07/2006
Last updated
06/29/2023
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