Individual
DR. RANDALL LOFTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 ESSJAY RD, WILLIAMSVILLE, NY 14221-5795
(716) 630-1112
(716) 631-0584
Mailing address
PO BOX 8000, DEPT 836, BUFFALO, NY 14267
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1948331
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026963902
UNIVERA
—
01
—
000525341007
BLUE SHIELD OF WESTERN NY
—
01
—
000525341011
BLUE SHIELD OF WESTERN NY
—
01
—
000525341013
BLUE SHIELD OF WESTERN NY
—
01
—
000525341014
BLUE SHIELD OF WESTERN NY
—
05
—
01871172
—
NY
01
—
040426003023
FIDELIS
—
01
—
145796FF
PREFERRED CARE
—
01
—
161538169
EMPIRE
—
01
—
1948330DNUM
WORKERS COMPENSATION
NY
01
—
204329201
EMPIRE
—
01
—
300112060
RAILROAD MEDICARE
—
01
—
5690141
INDEPENDENT HEALTH
—
01
—
743079229
EMPIRE
—
01
—
P00003635
RAILROAD MEDICARE
—
01
—
P00129852
MEDICARE RAILROAD
—
01
—
RB6953
MEDICARE
—
Enumeration date
05/03/2006
Last updated
12/05/2023
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