Port City Family Medicine P.c. INC

NPI #1215028055 in Oswego, New York

Provider Information

NPI Number: 1215028055
Entity Type: Organization
Organization Name: Port City Family Medicine P.c. INC
Primary Specialty: Family Medicine
Enumeration Date: Sep 27, 2006
Last Updated: Mar 15, 2019

Practice Location

Address: 33 E SCHUYLER ST
City: Oswego
State: New York
ZIP Code: 13126-1161
Phone: (315) 343-6974

Authorized Official

Name: DR. CORLISS ADAM VARNUM, M.D.
Title: PRESIDENT
Phone: (315) 343-6974

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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