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Individual

GEOFFREY C WHITING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
403 E BUFFALO ST, ITHACA, NY 14850-4370
(607) 329-0681
Mailing address
403 E BUFFALO ST, ITHACA, NY 14850-4370
(607) 329-0681

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
144755-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110079988A
MA
Enumeration date
01/15/2007
Last updated
02/20/2018
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