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NPI Code Detail

MEDICARE: RICHARD L ALWEIS MD

MEDICARE:   RICHARD L ALWEIS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician283973NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174529747
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD L ALWEIS MD
Provider Business Mailing Address
First Line : 1561 LONG POND ROAD
Second Line : SUITE 206
City : ROCHESTER
State : NY
Zip : 14626-4135
Country : US
Telephone Number : 585-368-4800
Fax Number : 585-368-4815
Provider Business Practice Location Address
First Line : 1561 LONG POND ROAD
Second Line : SUITE 206
City : ROCHESTER
State : NY
Zip : 14626-4135
Country : US
Telephone Number : 585-368-4800
Fax Number : 585-368-4815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 04/17/2017

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