Organization
IRONDEQUOIT PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW D HOLT MD (SOLE PROPRIETOR)
(585) 266-0310
Entity
Organization
Contact information
Practice address
485 TITUS AVE STE F, ROCHESTER, NY 14617-3544
(585) 266-0310
(585) 266-9207
Mailing address
485 TITUS AVE STE F, ROCHESTER, NY 14617-3544
(585) 266-0310
(585) 266-9207
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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