Individual
DOUGLAS B MORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 GEORGE KARL BLVD, WILLIAMSVILLE, NY 14221-7183
(716) 218-1000
(716) 200-1857
Mailing address
40 GEORGE KARL BLVD, WILLIAMSVILLE, NY 14221-7183
(716) 218-1000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
161777 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010121701
UNIVERA HEALTHCARE
NY
01
—
000525938003
BLUE CROSS BLUE SHIELD
NY
01
—
040426001228
FIDELISCARE NEW YORK
NY
01
—
0607773
INDEPENDENT HEALTH
NY
01
—
140004319
RAILROAD MEDICARE
—
Enumeration date
12/14/2005
Last updated
10/31/2019
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