Individual
DR. AJAY N PANCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6044 MAIN ST STE 110, WILLIAMSVILLE, NY 14221-6883
(716) 833-7112
Mailing address
20 HIDDEN PINES CT, EAST AMHERST, NY 14051-1688
(716) 689-6388
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
267266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03723104
—
NY
Enumeration date
06/27/2008
Last updated
08/03/2020
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