Individual
DR. GORDON PAUL TUSSING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4643 MAIN ST, AMHERST, NY 14226-4551
(716) 839-9113
(716) 839-3771
Mailing address
4643 MAIN ST, AMHERST, NY 14226-4551
(716) 839-9113
(716) 839-3771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
212802
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025069501
UNIVERA HEALTH CARE
NY
01
—
005260131
BLUE CROSS
NY
01
—
0410988
INDEPENDENT HEALTH ASSOC.
NY
01
—
16-1581909
COMMERCIAL INSURANCE
NY
Enumeration date
06/11/2006
Last updated
04/11/2024
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