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Individual

MICHAEL E D ANGELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
295 ESSJAY RD, BUFFALO MEDICAL GROUP, PC, WILLIAMSVILLE, NY 14221-8216
(716) 630-1146
(716) 817-1728
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
227302
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00027663503
UNIVERA
01
2113810
INDEPENDANT HEALTH
01
RB6957
MEDICARE
Enumeration date
06/27/2006
Last updated
12/07/2021
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