Individual
DR. VLADAN RADOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
462 GRIDER STREET, BUFFALO, NY 14215
(716) 898-3638
(716) 898-5202
Mailing address
462 GRIDER STREET, BUFFALO, NY 14215
(716) 898-3638
(716) 898-5202
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
002513-1
NY
2084N0400X
Neurology Physician
Primary
268007
NY
2084V0102X
Vascular Neurology Physician
268007
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02370261
—
NY
Enumeration date
01/19/2006
Last updated
10/14/2015
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