Individual
DR. W JEFFERY PAGE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
335 PARRISH ST, CANANDAIGUA, NY 14424-1728
(585) 393-2888
(585) 396-9275
Mailing address
335 PARRISH ST, CANANDAIGUA, NY 14424-1728
(585) 393-2888
(585) 396-9275
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
158365
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00836993
—
NY
01
—
9839
BLUE SHIELD
NY
01
—
MD161H
PREFERRED CARE
NY
Enumeration date
01/23/2006
Last updated
07/08/2007
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