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Organization
SOUTHTOWNS MEDICINE AND PEDIATRICS
Active
Organization
SOUTHTOWNS MEDICINE AND PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL JONES (ADMINISTRATOR)
(716) 652-8606
Entity
Organization
Contact information
Practice address
268 MAIN ST, EAST AURORA, NY 14052-1637
(716) 652-8606
Mailing address
268 MAIN ST, EAST AURORA, NY 14052-1655
(716) 652-8606
(716) 805-1225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
219856
NY
208000000X
Pediatrics Physician
219856
NY
Other
Enumeration date
09/26/2008
Last updated
01/16/2013
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