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NPI Code Detail

MEDICARE: DR. WILLIAM RAYMOND MOREHOUSE M.D.

MEDICARE: DR. WILLIAM RAYMOND MOREHOUSE 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
1207Q00000XFamily Medicine Physician116946NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17700126OTHERUNITED HEALTH CARE
2000587556004OTHERNYHEALTHY NY
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4100666BFOTHERNYPREFERRED CARE
53853OTHERNYBC/BS OF ROCHESTER
65058322OTHERNYAETNA

General Provider Information

NPI Number : 1396735007
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM RAYMOND MOREHOUSE M.D.
Provider Business Mailing Address
First Line : 340 ARNETT BLVD
Second Line :
City : ROCHESTER
State : NY
Zip : 14619-1147
Country : US
Telephone Number : 585-235-2250
Fax Number : 585-235-0011
Provider Business Practice Location Address
First Line : 340 ARNETT BLVD
Second Line :
City : ROCHESTER
State : NY
Zip : 14619-1147
Country : US
Telephone Number : 585-235-2250
Fax Number : 585-235-0011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 07/08/2007

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