Organization
JOSEPH L. MADDI, PHYSICIAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH L MADDI M.D. (OWNER)
(716) 634-0281
Entity
Organization
Contact information
Practice address
4225 MAPLE RD, AMHERST, NY 14226-1039
(716) 834-0281
(716) 834-0222
Mailing address
4225 MAPLE RD, AMHERST, NY 14226-1039
(716) 834-0221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
149577-1
NY
207RC0000X
Cardiovascular Disease Physician
Primary
149577-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010108705
UNIVERA
NY
01
—
2107103
INDEPENDENT HEALTH
NY
01
—
GRP512183005
BLUE CROSS BLUE SHIELD
NY
Enumeration date
11/29/2007
Last updated
05/28/2010
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