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Organization

ROSENDO I INTENGAN MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROSENDO I INTENGAN MD (OWNER)
(716) 882-2424
Entity
Organization

Contact information

Practice address
1275 DELAWARE AVE, BUFFALO, NY 14209-2412
(716) 882-2424
Mailing address
1275 DELAWARE AVE, BUFFALO, NY 14209-2412
(716) 882-2424

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00613561
NY
Enumeration date
07/25/2008
Last updated
07/25/2008
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