Justin P Fedor, DO

NPI #1982831483 in Cicero, New York

Provider Information

NPI Number: 1982831483
Entity Type: Individual
Name: Justin P Fedor, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 11, 2009
Last Updated: Sep 19, 2012

Practice Location

Address: 5586 LEGIONNAIRE DR STE 1
City: Cicero
State: New York
ZIP Code: 13039-3504
Phone: (315) 699-2837

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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