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Individual

DR. NIELS ULRICH GOTHGEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
50 LAKEFRONT BLVD, SUITE 130, BUFFALO, NY 14202-4345
(716) 849-8750
(716) 849-8757
Mailing address
50 LAKEFRONT BLVD, SUITE 130, BUFFALO, NY 14202-4345
(716) 849-8750
(716) 849-8757

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
241874
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
241874
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
241874
NY

Other

Enumeration date
10/05/2006
Last updated
09/21/2021
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