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Individual

DR. PIFU LUO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 368-4392
(585) 723-7735
Mailing address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 368-4392
(585) 723-7735

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
35575
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
242210
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0439109
IA
05
1439109
IA
01
36384
WELLMARK BCBS
IA
01
36385
WELLMARK BCBS
IA
Enumeration date
10/06/2005
Last updated
04/29/2009
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