Individual
DR. JON ALAN MUNTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 N MAPLEMERE RD STE 120, WILLIAMSVILLE, NY 14221-3178
(716) 836-4646
(716) 672-8060
Mailing address
111 N MAPLEMERE RD STE 120, WILLIAMSVILLE, NY 14221-3178
(716) 836-4646
(716) 672-8060
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
085798
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000267043002
UNIVERA
NY
01
—
00026704301
UNIV FOR N. CHAUT RAD
NY
01
—
000511785003
BLUE CROSS
NY
01
—
000511785004
BC FOR N. CHAUT RADIOL
NY
05
—
01246304
—
NY
01
—
161435431
FIDELIS
NY
01
—
5609140
INDEPENDENT HEALTH
NY
01
—
CM1926
RAILROAD MEDICARE
NY
Enumeration date
01/10/2007
Last updated
08/21/2023
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