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Individual

DR. JOHN C SKILLINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
124859 1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000911651001
BLUE CROSS BLUE SH WNY
NY
01
0168
EXCELLUS ROCHESTER
NY
05
01724607
NY
01
100725FL
PREFERRED CARE
NY
01
100725FP
PREFERRED CARE ID
NY
01
P010124859
EXCELLUS BLUE CHOICE
NY
Enumeration date
02/23/2006
Last updated
02/25/2015
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