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Individual

DR. ROBERT MARK LINCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
155154
NY
2086X0206X
Surgical Oncology Physician
030187
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001301879
CT
05
01493549
NY
01
0200001134
MEDICARE PTAN
CT
Enumeration date
05/02/2006
Last updated
11/27/2023
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