Individual
CHESTER FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1315 JEFFERSON AVE, BUFFALO, NY 14208
(716) 332-3797
(716) 332-4247
Mailing address
462 GRIDER ST, BLDG CC ROOM 151, BUFFALO, NY 14215-3021
(716) 898-6206
(716) 898-4750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
131558
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00452171
—
NY
Enumeration date
06/09/2006
Last updated
07/01/2010
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