Individual
PHILIPPE JAOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 HIGH ST, BUFFALO, NY 14203
(716) 859-2259
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-5782
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241081
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
241081
NY
207RP1001X
Pulmonary Disease Physician
Primary
241081
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
241081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02614111
—
NY
Enumeration date
03/01/2006
Last updated
12/14/2021
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