Individual
EDWARD P OBRIEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 CENTER RD, WEST SENECA, NY 14224
(716) 674-1001
(716) 674-6345
Mailing address
300 CENTER RD, WEST SENECA, NY 14224
(716) 674-1001
(716) 674-6345
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
229534
NY
207R00000X
Internal Medicine Physician
Primary
229534
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02505668
—
NY
Enumeration date
05/03/2006
Last updated
03/22/2016
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