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Organization

SOUTHTOWNS INTERNAL MEDICINE PC

Active
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Organization

SOUTHTOWNS INTERNAL MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY R NELSON (DO)
(716) 825-0300
Entity
Organization

Contact information

Practice address
3320 N BENZING RD, ORCHARD PARK, NY 14127-1538
(716) 825-0300
(716) 825-0303
Mailing address
3320 NORTH BENZING ROAD, ORCHARD PARK, NY 14127-5138
(716) 825-0300
(716) 825-0303

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
177472
NY

Other

Enumeration date
09/16/2006
Last updated
09/11/2013
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