Organization
OLEAN MEDICAL GROUP PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED H. LEWIS M.D. (CHAIRMAN, EXECUTIVE BOARD)
(716) 372-0141
Entity
Organization
Contact information
Practice address
610 WAYNE ST, OLEAN, NY 14760-2355
(716) 372-1570
(716) 372-1556
Mailing address
535 MAIN ST, OLEAN, NY 14760-1500
(716) 372-0141
(716) 372-6421
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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