Kenmore Pediatric Assoc., P.c.

NPI 1215957063 - Pediatrics - 208000000X

NPI Details
NPI 1215957063
Enumeration Date 07/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROGER A ROGER
Position PRESIDENT
Phone (716) 833-2333
Fax
Practice Location
341 ENGLEWOOD AVE
BUFFALO NY, 14223-2819, US
Phone (716) 833-2333
Fax
Business Location
341 ENGLEWOOD AVE
BUFFALO NY, 14223-2819, US
Phone (716) 833-2333
Fax
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 111276
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According to our database, Kenmore Pediatric Assoc., P.c. NPI is 1215957063, taxonomy code is 208000000X and license number is 111276, license state is located at New York. Kenmore Pediatric Assoc., P.c. physically located at 341 Englewood Ave, Buffalo NY, 14223-2819. NPI Number 1033115704 has the healthcare provider type.

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1215957063 NPI number is provided on an as is basis without warranty of any kind. 1215957063 is maintained by the National Plan & Provider Enumeration System. The contents of Kenmore Pediatric Assoc., P.c. are for informational purposes only.