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Individual

DR. TED LOUIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-0526
(585) 442-9328
Mailing address
601 ELMWOOD AVENUE BOX MED, ROCHESTER, NY 14642-0001
(585) 275-0526
(585) 442-9328

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
191730
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
221957468
TAX ID
NJ
05
6937101
NJ
Enumeration date
01/26/2006
Last updated
06/30/2023
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