Individual
DR. JOHN-PAUL DANIEL MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4189
(607) 274-4198
Mailing address
101 DATES DR, HOSPITALIST OFFICE, ITHACA, NY 14850
(607) 252-3698
(607) 274-4198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
220490-1
NY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
220490
NY
208M00000X
Hospitalist Physician
Primary
220490
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02161659
—
NY
Enumeration date
06/27/2005
Last updated
05/02/2024
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