Individual
EDWARD JOHN SPANGENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 ESSJAY RD, WILLIAMSVILLE, NY 14221-8216
(716) 630-1156
(716) 630-2608
Mailing address
6255 SHERIDAN DR, SUITE 304, WILLIAMSVILLE, NY 14221-4836
(716) 857-8666
(716) 630-1054
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
175139-1
NY
Other
Enumeration date
11/09/2005
Last updated
07/18/2013
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