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Organization
WINSTON G DOUGLAS MD PC
Active
Organization
WINSTON G DOUGLAS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WINSTON G DOUGLAS M.D. (OWNER)
(716) 884-8033
Entity
Organization
Contact information
Practice address
755 WEHRLE DR, BUFFALO, NY 14225-1319
(716) 884-8033
(716) 342-2523
Mailing address
755 WEHRLE DR, BUFFALO, NY 14225-1319
(716) 884-8033
(716) 906-3133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03308216
—
NY
Enumeration date
09/20/2010
Last updated
07/19/2023
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