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Individual

ALEXANDER W VANAMERONGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7000
Mailing address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(585) 723-7000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036.100502
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
270701
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03688199
NY
Enumeration date
01/04/2006
Last updated
04/19/2026
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