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Individual

DR. LAWRENCE J ROUTENBERG

Active
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Individual

DR. LAWRENCE J ROUTENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
138025-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000084108
GHI HMO
01
000405089001
BLUE SHIELD NENY
01
000405089003
BLUE SHIELD NENY
05
00392883
NY
01
00A29
EMPIRE BLUE CROSS
01
040426006821
FIDELIS
01
05112
MVP
01
10001755
CDPHP
01
110160500
US DEPT OF LABOR
01
138025-1
TRICARE NORTH REGION
01
33570Q
FIDELIS MEDICARE
01
9701846
GHI
01
B80762
AMERICAN PROGRESSIVE TODA
01
CAN1380252
WORKERS COMP
01
LR000A2910
EMPIRE BLUE CROSS
01
LR000A2920
EMPIRE BLUE CROSS
Enumeration date
07/29/2005
Last updated
01/27/2011
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