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Organization

MUHLBAUER DERMATOPATHOLOGY PC

Active
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Organization

MUHLBAUER DERMATOPATHOLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAN E MUHLBAUER MD (LAB DIRECTOR)
(585) 586-5166
Entity
Organization

Contact information

Practice address
61 MONROE AVENUE, SUITE B, PITTSFORD, NY 14534
(585) 586-5166
(585) 586-1370
Mailing address
PO BOX 23930, ROCHESTER, NY 14692
(585) 586-5166
(585) 586-1370

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00823996
NY
01
CL017
PREFERRED CARE
NY
01
PO14939759
BLUE CHOICE
NY
Enumeration date
08/04/2006
Last updated
07/21/2010
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