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Individual

DR. JOHN SPENCER TASHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 341-6269
Mailing address
601 ELMWOOD AVE BOX 604, ROCHESTER, NY 14642-0001
(585) 275-1385

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0040809
CO
207L00000X
Anesthesiology Physician
Primary
201675
NY
363AS0400X
Surgical Physician Assistant
201675
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01624955
NY
05
1962556860
CO
01
522240YPUW
MEDICARE
CO
Enumeration date
01/22/2007
Last updated
07/22/2023
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