Organization
KENMORE PEDIATRIC ASSOC., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER A FORDEN M.D. (PRESIDENT)
(716) 833-2333
Entity
Organization
Contact information
Practice address
341 ENGLEWOOD AVE, BUFFALO, NY 14223-2819
(716) 833-2333
Mailing address
341 ENGLEWOOD AVE, BUFFALO, NY 14223-2819
(716) 833-2333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
111276
NY
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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