General Physician Sub Iii Pllc | |
1430 Colvin Blvd Buffalo NY 14223-1440 | |
(716) 874-4060 | |
(716) 874-0370 |
Full Name | General Physician Sub Iii Pllc |
---|---|
Speciality | Internal Medicine |
Location | 1430 Colvin Blvd, Buffalo, New York |
Authorized Official Name and Position | David Hughes (OWNER) |
Authorized Official Contact | 7166922160 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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General Physician Sub Iii Pllc Po Box 8000 Department 540 Buffalo NY 14267-0002 Ph: (203) 944-1940 | General Physician Sub Iii Pllc 1430 Colvin Blvd Buffalo NY 14223-1440 Ph: (716) 874-4060 |
NPI Number | 1932505419 |
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Provider Enumeration Date | 11/12/2014 |
Last Update Date | 09/23/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932505419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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