Individual
DR. MAURICE J. VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 CANAL VIEW BLVD, SUITE 102, ROCHESTER, NY 14623-2808
(585) 338-2700
(585) 242-9663
Mailing address
140 CANAL VIEW BLVD, SUITE 102, ROCHESTER, NY 14623-2808
(585) 338-2700
(585) 242-9663
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
154363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000076301506
UNITED HEALTHCARE
—
01
—
000525795007
HEALTH NOW LINDEN OAKS
—
01
—
0005257995006
HEALTH NOW PARNALL
—
01
—
005257956
COMM BLUE BCBSWNY
—
05
—
01095885
—
NY
01
—
060064587
RAILROAD MEDICARE
—
01
—
1676
BLUE CROSS BLUE SHIELD
—
01
—
301134
WELLCARE
—
01
—
5815342
AETNA
—
01
—
7701246
MVP
—
01
—
78480545
TRICARE/CHAMPUS
—
01
—
9702552
GHI
—
01
—
MD4261
PREFERRED CARE
—
01
—
PO10154363
EXCELLUS
—
01
—
RC60154363
RCIPA
—
Enumeration date
03/31/2006
Last updated
06/29/2023
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