Individual
JUDY ANN WESOLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 TREMONT ST STE 4, NORTH TONAWANDA, NY 14120-6135
(716) 656-4077
Mailing address
PO BOX 488, BUFFALO, NY 14240-0488
(716) 852-4772
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
202730
NY
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
202731
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01736025
—
NY
Enumeration date
12/06/2005
Last updated
01/08/2024
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