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NPI Code Detail

MEDICARE: RALPH A. MANCHESTER M.D.

MEDICARE:   RALPH A. MANCHESTER  M.D.
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 Physician153879-1NY
2207R00000XInternal Medicine Physician153879NY

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 : 1053340927
Entity Type Code : Individual
Provider Name (Legal Business Name) : RALPH A. MANCHESTER M.D.
Provider Business Mailing Address
First Line : POB 270617
Second Line : 738 LIBRARY RD
City : ROCHESTER
State : NY
Zip : 14627-0617
Country : US
Telephone Number : 585-275-2662
Fax Number : 585-256-1285
Provider Business Practice Location Address
First Line : 738 LIBRARY RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14627-0617
Country : US
Telephone Number : 585-275-2662
Fax Number : 585-256-1285
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2006
Last Update Date : 06/29/2023

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Directions to “ RALPH A. MANCHESTER M.D.” Practice Location

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