Individual
JEREMY PAUL DOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4949 HARLEM RD, AMHERST, NY 14226-2500
(716) 204-3251
(716) 204-3269
Mailing address
5500 MAIN ST, SUITE 107, WILLIAMSVILLE, NY 14221-6755
(716) 906-5908
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
14215
RI
207X00000X
Orthopaedic Surgery Physician
Primary
274278
NY
207X00000X
Orthopaedic Surgery Physician
PENDING
FL
Other
Enumeration date
07/28/2008
Last updated
11/25/2014
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