| Portland Physician P.c. | |
|
1299 Portland Ave Ste 7 Rochester NY 14621-2727 | |
| (585) 467-9790 | |
| (585) 467-9798 |
| Full Name | Portland Physician P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1299 Portland Ave Ste 7, Rochester, New York |
| Authorized Official Name and Position | Gula-rana Masood (OWNER) |
| Authorized Official Contact | 5854679790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Physician P.c. 1299 Portland Ave Ste 7 Rochester NY 14621-2727 Ph: (585) 467-9790 | Portland Physician P.c. 1299 Portland Ave Ste 7 Rochester NY 14621-2727 Ph: (585) 467-9790 |
| NPI Number | 1821252040 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 02/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821252040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 190081 (New York) | Primary |
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