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Organization
LOUBERT S SUDDABY MD PC
Active
Organization
LOUBERT S SUDDABY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUBERT S SUDDABY MD (OWNER)
(716) 667-1980
Entity
Organization
Contact information
Practice address
3775 SOUTHWESTERN BLVD, SUITE A, ORCHARD PARK, NY 14127-2159
(716) 667-1980
(716) 667-1982
Mailing address
3775 SOUTHWESTERN BLVD, SUITE A, ORCHARD PARK, NY 14127-2159
(716) 667-1980
(716) 667-1982
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
193722
NY
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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