Individual
MR. SALEH A FETOUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2828 MAIN ST, BUFFALO, NY 14214
(716) 838-1300
(716) 837-7725
Mailing address
260 DEPEW AVE, BUFFALO, NY 14214
(716) 833-8413
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
132008
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00610724
—
NY
Enumeration date
08/23/2006
Last updated
07/08/2007
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