Individual
PAUL S SPURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7109
(716) 888-3874
Mailing address
4511 HARLEM RD, SUITE 202, AMHERST, NY 14226-3803
(716) 839-6720
(716) 839-6740
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
170359
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020032201
UNIVERA
NY
01
—
000524355001
BC/BS
NY
01
—
0016899170001
PA MEDICAID
—
05
—
01052042
—
NY
01
—
040426002387
FIDELIS
NY
01
—
3990904
IHA
NY
Enumeration date
08/03/2006
Last updated
09/24/2008
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