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Organization
JTF MEDICAL PLLC
Active
Organization
JTF MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY TODD FACER M.D. (PRESIDENT/CEO)
(716) 491-1913
Entity
Organization
Contact information
Practice address
292 MAIN ST, EAST AURORA, NY 14052-1650
(716) 652-1560
Mailing address
30 WOODTHRUSH TRL, ORCHARD PARK, NY 14127-3071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2321991
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02563651
—
NY
Enumeration date
02/07/2012
Last updated
02/07/2012
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