Individual
DR. PAUL OGBURN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 YOUNGS RD STE 110, BUFFALO, NY 14221-2698
(716) 852-4772
Mailing address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777
(631) 474-6000
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
220748
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02145568
—
NY
Enumeration date
08/01/2005
Last updated
02/23/2021
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