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Individual

DR. PAUL OTTO STAGE II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
9 ROYCROFT PKWY, ELMA, NY 14059-9316
(716) 980-0100
(716) 980-0104
Mailing address
322 WELLINGTON AVE, BUFFALO, NY 14223-2518
(716) 397-7669

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
070603
NY

Other

Enumeration date
08/17/2023
Last updated
10/14/2024
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