Individual
DR. SHELLEY S BATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 LOCUST DR, MIDDLEPORT, NY 14105-1310
(716) 989-9325
Mailing address
14 LOCUST DR, MIDDLEPORT, NY 14105-1310
(716) 989-9325
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
249150
NY
2085R0202X
Diagnostic Radiology Physician
Primary
A105524
CA
Other
Enumeration date
07/01/2008
Last updated
04/08/2010
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