| John M. Wadsworth MD PC | |
|
313 Summer St Buffalo NY 14222-2146 | |
| (716) 883-5367 | |
| (716) 884-7260 |
| Full Name | John M. Wadsworth MD PC |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 313 Summer St, Buffalo, New York |
| Authorized Official Name and Position | John M Wadsworth (OWNER) |
| Authorized Official Contact | 7168835367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John M. Wadsworth MD PC 313 Summer St Buffalo NY 14222-2146 Ph: (716) 883-5367 | John M. Wadsworth MD PC 313 Summer St Buffalo NY 14222-2146 Ph: (716) 883-5367 |
| NPI Number | 1144474735 |
|---|---|
| Provider Enumeration Date | 11/09/2008 |
| Last Update Date | 11/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144474735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 112646 (New York) | Primary |
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