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Organization
THOMAS C SMALL MD PC
Active
Organization
THOMAS C SMALL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C SMALL MD (OWNER SOLE PROPRIETOR)
(716) 626-4878
Entity
Organization
Contact information
Practice address
6511 MAIN ST, WILLIAMSVILLES, NY 14221-5835
(716) 626-4878
(716) 626-7609
Mailing address
2821 WEHRLE DR, SUITE 1, WILLIAMSVILLE, NY 14221-7386
(716) 626-4878
(716) 626-7609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A1493801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00738138
—
NY
01
—
048804
INDEPENDENT HEALTH
NY
Enumeration date
06/15/2007
Last updated
06/30/2008
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