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Organization
LEWISTON ORTHOPEDICS PC
Active
Organization
LEWISTON ORTHOPEDICS PC
Active
Other names
CENTER FOR ORTHOPEDICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M WOPPERER M.D. (PHYSICIAN)
(716) 297-1701
Entity
Organization
Contact information
Practice address
5320 MILITARY RD, SUITE 107, LEWISTON, NY 14092-2149
(716) 297-1701
(716) 297-1479
Mailing address
5320 MILITARY RD, SUITE 107, LEWISTON, NY 14092-2149
(716) 297-1701
(716) 297-1479
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
155653
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010290601
UNIVERA HEALTHCARE
NY
01
—
000551514001
BLUE CROSS DME
NY
01
—
0903962
INDEPENDENT HEALTH
NY
01
—
1790862449
GROUP NPI
—
01
—
528803001
BLUE CROSS OF WNY
NY
Enumeration date
11/01/2006
Last updated
04/01/2010
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