Individual
PETER JONATHAN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-7608
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-7608
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
256843
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03241976
—
NY
Enumeration date
05/18/2007
Last updated
07/15/2019
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