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Individual

DR. MICHAEL S GOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263
(716) 845-2300
(716) 845-3349
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
243206
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
243206
NY
207RP1001X
Pulmonary Disease Physician
Primary
243206
NY

Other

Enumeration date
08/29/2006
Last updated
08/27/2024
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