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Individual

DR. STEPHEN L PELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
220 LINDEN OAKS STE 300, ROCHESTER, NY 14625-2839
(585) 383-4420
(585) 383-4515
Mailing address
220 LINDEN OAKS STE 300, ROCHESTER, NY 14625-2839
(585) 383-4420
(585) 383-4515

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
115901
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000506488005
BLUE CROSS BLUE SHIELD
NY
01
0138
EXCELLUS INDEMNITY PLAN P
01
0140
EXCELLUS INDEMNITY PLAN P
05
01684606
NY
01
0308906
INDEPENDENT HEALTH PROD
01
040426004286
FEDLIS CARE
01
070009693
RAILROAD MEDICARE
01
102194AP
PREFERRED CARE PRODUCTS
NY
01
300340
WELL CARE
01
5681746
AETNA PRODUCTS
01
P010115901
EXCELLUS MANAGED CARE PRO
NY
Enumeration date
05/16/2006
Last updated
10/20/2022
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