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Organization
SOUTHWESTERN MEDICAL ASSOCIATES, LLP
Active
Organization
SOUTHWESTERN MEDICAL ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL GOODMAN M.D. (PRESIDENT)
(716) 972-0279
Entity
Organization
Contact information
Practice address
3675 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1732
(716) 972-0279
(716) 972-0273
Mailing address
3675 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1732
(716) 972-0279
(716) 972-0273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02379202
—
NY
01
—
4697890001
DME MEDICARE
—
Enumeration date
04/27/2006
Last updated
07/27/2014
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