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Organization
SOUTHTOWNS FAMILY PRACTICE PC
Active
Organization
SOUTHTOWNS FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG K MACLEAN DO (PRESIDENT)
(716) 432-7760
Entity
Organization
Contact information
Practice address
3040 AMSDELL RD, HAMBURG, NY 14075-5835
(716) 646-6700
(716) 646-8515
Mailing address
3040 AMSDELL RD, HAMBURG, NY 14075-5835
(716) 646-6700
(716) 646-8515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03299805
—
NY
Enumeration date
11/04/2010
Last updated
05/17/2016
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