Individual
DR. ERIC J WAFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 ESSJAY RD, WILLIAMSVILLE, NY 14221-8243
(716) 630-1072
(716) 630-1269
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
222556
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026484801
UNIVERA
NY
01
—
000527465001
HEALTH NOW
NY
05
—
02462031
—
NY
01
—
0411744
IHA
NY
01
—
161000580
EMPIRE PLAN
NY
01
—
P0007654
RR MEDICARE
NY
Enumeration date
01/09/2006
Last updated
12/14/2021
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