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MR. THEODOR KARL MAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
1425 PORTLAND AVE ROCHESTER GENERAL HOSPITAL, ROCHESTER GENERAL HEALTH SYSTEM, ROCHESTER, NY 14621
(585) 922-9870
(585) 922-9872
Mailing address
1425 PORTLAND AVE ROCHESTER GENERAL HOSPITAL, ROCHESTER GENERAL HEALTH SYSTEM, ROCHESTER, NY 14621
(585) 922-9870
(585) 922-9872

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
139022
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00122193
VOW RAILROAD MEDICARE
NY
Enumeration date
10/06/2006
Last updated
12/06/2010
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