Organization
DAVID S BEVILACQUA MD PC
Active
Organization
DAVID S BEVILACQUA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SAMUEL BEVILACQUA MD (PRESIDENT)
(716) 662-8089
Entity
Organization
Contact information
Practice address
S-3673 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1740
(716) 662-8087
Mailing address
S-3673 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1740
(716) 662-8089
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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