Organization
JOHN M WADSWORTH MD PC
Active
Parent organization
JOHN M. WADSWORTH MD PC
Other names
John M. Wadsworth MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN M. WADSWORTH MD PC
Authorized official
DR. JOHN M WADSWORTH MD (OWNER)
(716) 883-5367
Entity
Organization
Contact information
Practice address
313 SUMMER ST, BUFFALO, NY 14222-2146
(716) 883-5367
(716) 884-7260
Mailing address
313 SUMMER ST, BUFFALO, NY 14222-2146
(716) 883-5367
(716) 884-7260
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
112646
NY
Other
Enumeration date
11/09/2008
Last updated
11/09/2008
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