Organization
FEDERICO GONZALEZ-DOLDAN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FEDERICO GONZALEZ-DOLDAN M.D. (OWNER)
(716) 693-5005
Entity
Organization
Contact information
Practice address
585 DELAWARE ST, TONAWANDA, NY 14150-5300
(716) 693-5005
(716) 693-5006
Mailing address
585 DELAWARE ST, TONAWANDA, NY 14150-5300
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
117488
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
117488
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069618
—
NY
Enumeration date
02/26/2013
Last updated
02/26/2013
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