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
449 BROAD ST, SALAMANCA, NY 14779-1455
(716) 945-4770
(716) 945-2393
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
12/03/2014
Last updated
12/10/2014
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