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Organization
ALLENTOWN PEDIATRIC AND ADOLESCENT MEDICINE
Active
Organization
ALLENTOWN PEDIATRIC AND ADOLESCENT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL EHLENFIELD MD (PRESIDENT)
(716) 332-4472
Entity
Organization
Contact information
Practice address
560 FRANKLIN ST, BUFFALO, NY 14202-1110
(716) 332-4472
(716) 332-4675
Mailing address
560 FRANKLIN ST, BUFFALO, NY 14202-1110
(716) 332-4472
(716) 332-4675
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
04/13/2006
Last updated
09/09/2014
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