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Organization

PROFESSIONAL EMERGENCY SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK R PUNDT MD (CEO)
(716) 580-1801
Entity
Organization

Contact information

Practice address
6 FOUNTAIN PLZ, BUFFALO, NY 14202-2211
(716) 691-8838
(716) 564-1134
Mailing address
6 FOUNTAIN PLZ, BUFFALO, NY 14202-2211
(716) 691-8838
(716) 564-1134

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000005133161
BLUE CROSS BLUE SHIELD
NY
Enumeration date
06/02/2006
Last updated
08/15/2014
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