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Individual

J WILLIAM SHIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
373 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1603
(585) 424-5665
(585) 424-1273
Mailing address
373 WHITE SPRUCE BLVD, ROCHESTER, NY 14623-1603
(585) 424-5665
(585) 424-1273

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
130129
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005239003.
NY
Enumeration date
04/04/2006
Last updated
07/14/2010
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