Organization
ROSWELL PARK CANCER INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANYANAN REUNGWETWATTANA M.D. (FELLOW)
(507) 319-1774
Entity
Organization
Contact information
Practice address
ROSWELL PARK CANCER INSTITUTE, ELM & CARLTON STREET, BUFFALO, NY 14263-0001
(716) 845-4101
(716) 845-3423
Mailing address
275B EVANS ST, APT # 6, WILLIAMSVILLE, NY 14221-5666
(507) 319-1774
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
NY
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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