Individual
DR. VICTOR S REGENBOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 N MAPLEMERE RD STE 120, WILLIAMSVILLE, NY 14221-3178
(716) 836-4646
(716) 859-2962
Mailing address
111 N MAPLEMERE RD STE 120, WILLIAMSVILLE, NY 14221-3178
(716) 836-4646
(716) 859-2962
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
171549
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026030202
UNIVERA
—
01
—
00026030204
UNIVERA
—
01
—
000911571011
BLUE SHIELD WNY
—
01
—
000911571014
BLUE SHIELD WNY
—
05
—
01044453
—
NY
01
—
0142857
GHI
—
01
—
040426003059
FIDELIS
—
01
—
101203FF
PREFERRED CARE
—
01
—
1693153
INDEPENDENT HEALTH
—
01
—
1715499B
WORKERS COMPENSATION
NY
01
—
4195928
GHI
—
01
—
P00029526
RR MEDICARE
—
01
—
P00136831
RR MEDICARE
—
01
—
P010171549
BLUE CHOICE
—
01
—
P020171549
BLUE SHIELD ROCHESTER
—
Enumeration date
05/01/2006
Last updated
08/21/2023
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