Organization
PAUL DEJAC PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL EDWARD DEJAC (MD)
(716) 883-0515
Entity
Organization
Contact information
Practice address
656 ELMWOOD AVE, BUFFALO, NY 14222-1836
(716) 883-0515
(716) 883-8764
Mailing address
656 ELMWOOD AVE, BUFFALO, NY 14222-1836
(716) 883-0515
(716) 883-8764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2025
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