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Individual

DR. JOHN M ROEHMHOLDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3085 HARLEM RD, STE 200, CHEEKTOWAGA, NY 14225-2563
(716) 844-5000
(716) 844-5050
Mailing address
3085 HARLEM RD, SUITE 350, CHEEKTOWAGA, NY 14225-2591
(716) 844-5600
(716) 844-5750

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
167540
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010149702
UNIVERA
NY
01
000527023004
BCBS OF WNY
NY
01
070322000078
FIDELIS
NY
01
145176
WORKERS COMP
NY
01
1903219
IHA
NY
01
P00368540
RR MEDICARE
NY
Enumeration date
10/28/2005
Last updated
08/13/2015
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