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Individual

DIDDARJIT GREWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2655 RIDGEWAY AVE, SUITE 480, ROCHESTER, NY 14626-4296
(585) 865-8210
Mailing address
2655 RIDGEWAY AVE, SUITE 480, ROCHESTER, NY 14626-4296
(585) 865-8210

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
230824
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02586758
NY
Enumeration date
06/27/2006
Last updated
03/03/2015
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