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Individual

DR. MICHAEL WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1050
(716) 634-0987
Mailing address
5456 PEBBLE BEACH DR, HAMBURG, NY 14075-5860
(716) 646-3141

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
174838-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01242846
NY
Enumeration date
07/17/2006
Last updated
07/08/2007
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