Individual
CHAD M WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 473-2200
Mailing address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
21807
NY
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
06/30/2023
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