Ogden Pediatrics

NPI 1205187002 - Pediatrics - 208000000X

NPI Details
NPI 1205187002
Enumeration Date 09/20/2012
Last Updated 09/20/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MARK ANTHONY MARK
Position PYSICIAN
Phone (585) 594-9254
Fax (595) 594-9233
Practice Location
4415 BUFFALO ROAD
SUITE 1B
NORTH CHILI NY, 14514, US
Phone (585) 594-9254
Fax (595) 594-9233
Business Location
4415 BUFFALO ROAD
SUITE 1B
NORTH CHILI NY, 14514, US
Phone (585) 594-9254
Fax (595) 594-9233
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 173484
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According to our database, Ogden Pediatrics NPI is 1205187002, taxonomy code is 208000000X and license number is 173484, license state is located at New York. Ogden Pediatrics physically located at 4415 Buffalo Road, North Chili NY, 14514. NPI Number 1033115704 has the healthcare provider type.

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1205187002 NPI number is provided on an as is basis without warranty of any kind. 1205187002 is maintained by the National Plan & Provider Enumeration System. The contents of Ogden Pediatrics are for informational purposes only.