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Organization

CECIL J HAGGERTY JR MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CECIL J HAGGERTY JR. MD PC (PRESIDENT)
(585) 637-3010
Entity
Organization

Contact information

Practice address
77 WEST AVE, BROCKPORT, NY 14420-1305
(585) 637-3010
(585) 637-4919
Mailing address
77 WEST AVE, BROCKPORT, NY 14420-1305
(585) 637-3010
(585) 637-4919

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
112867
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00428799
NY
Enumeration date
11/19/2010
Last updated
11/19/2010
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