Individual
DR. WAYNE RICHARD WAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 MAIN ST, BUFFALO, NY 14203-1009
(716) 323-0140
(716) 323-0292
Mailing address
1001 MAIN ST, BUFFALO, NY 14203-1009
(716) 323-0140
(716) 323-0292
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
179621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010186301
UNIVERA HEALTHCARE
—
01
—
000528205001
BCBS OF WNY
—
01
—
0014731570001
PENNSYLVANIA MEDICAID
PA
05
—
0014731570001
—
PA
05
—
01291905
—
NY
01
—
040426001500
FIDELISCARE NY
—
01
—
4808929
INDEPENDENT HEALTH ASSOC.
—
Enumeration date
04/14/2006
Last updated
01/19/2021
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