Individual
MR. JOHN EDWARD DEWAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 E MAIN ST, STE 104, CANTON, NY 13617-1403
(315) 386-8184
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
(315) 261-6422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
139252
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00671590
—
NY
Enumeration date
04/07/2006
Last updated
05/30/2017
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