Individual
PETER JASSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1540 MAPLE RD, BUFFALO, NY 14221-3647
(716) 568-3600
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(866) 709-4546
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
254710
NY
207L00000X
Anesthesiology Physician
25MA09213400
NJ
207L00000X
Anesthesiology Physician
P4184
TX
Other
Enumeration date
05/26/2009
Last updated
12/06/2024
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