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Organization

GREAT LAKES PHYSICIAN PRACTICE PC

Active
Other names
ERAM CHAUDHRY MD
Organization subpart
No

Provider details

NPI number
Authorized official
MARK T EHALT (DIRECTOR)
(412) 647-0943
Entity
Organization

Contact information

Practice address
113 MAIN ST, SILVER CREEK, NY 14136-1452
(716) 934-3641
(716) 934-7443
Mailing address
113 MAIN ST, SILVER CREEK, NY 14136-1452
(716) 934-3641
(716) 934-7443

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
12/08/2014
Last updated
12/08/2014
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