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Organization

SOUTHTOWNS GASTROENTEROLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALBERT DIAZ-ORDAZ M.D. (PHYSICIAN)
(716) 677-9220
Entity
Organization

Contact information

Practice address
3065 SOUTHWESTERN BLVD, STE 100, ORCHARD PARK, NY 14127-1239
(716) 677-9220
(716) 677-9226
Mailing address
3065 SOUTHWESTERN BLVD, STE 100, ORCHARD PARK, NY 14127-1239
(716) 677-9220
(716) 677-9226

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
162503
NY

Other

Enumeration date
03/24/2011
Last updated
03/28/2011
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