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Individual

ANIL V JOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1425 PORTLAND AVE, BOX 242, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Mailing address
1425 PORTLAND AVE, BOX 242, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
271071
NY
208M00000X
Hospitalist Physician
Primary
271071
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02993268
NY
Enumeration date
06/07/2007
Last updated
07/10/2013
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