Individual
PAUL O DUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2365 CLINTON AVE S, SUITE 200, ROCHESTER, NY 14618-2645
(585) 758-5700
(585) 758-1293
Mailing address
601 ELMWOOD AVE, BOX 629, ROCHESTER, NY 14642-0001
(585) 758-5700
(585) 758-1293
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
137948
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000523951002
COMMUNITY BLUE
NY
05
—
00746630
—
NY
01
—
040017652
RAIL ROAD MEDICARE
NM
01
—
0600794
GHI
NY
01
—
1090160
INDEPENDENT HEALTH
NY
01
—
5176067
AETNA
NY
01
—
G0182467590
BLUE CHOICE
NY
01
—
MDH273
PREFERRED CARE
NY
01
—
P010137948
BLUE SHIELD
NY
Enumeration date
07/07/2006
Last updated
06/29/2023
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