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Thomas Bevilacqua, MD
Diagnostic Radiology Physician in Williamsville, New York
NPI 1093094005

Thomas Bevilacqua is a Diagnostic Radiology Physician based in Williamsville, NY and is specialized in Diagnostic Radiology. Thomas Bevilacqua practices in Williamsville, NY and has the professional credentials of MD. The NPI Number for Thomas Bevilacqua is 1093094005 and holds a License No. 125.060174 (New York).

The current practice location address for Thomas Bevilacqua is 111 N Maplemere Rd Ste 120, Williamsville, NY and can be reached out via phone at 716-836-4646 and via fax at 716-836-4696.

Location: 111 N Maplemere Rd Ste 120, Williamsville, NY, 14221-3178
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093094005
Provider Name
Thomas Bevilacqua
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 N Maplemere Rd Ste 120, Williamsville, NY, 14221-3178
Phone Number
716-836-4646
Fax Number
716-836-4696
Provider Enumeration Date
08/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04873929 05 NY
institution
Provider Business Practice Location Address Details
Address
111 N Maplemere Rd Ste 120
City
Williamsville
State
New York
Zip
14221-3178
Phone Number
716-836-4646
Fax Number
716-836-4696
person
Provider Business Mailing Address Details
Address
111 N Maplemere Rd Ste 120
City
Williamsville
State
New York
Zip
14221-3178
Phone Number
716-836-4646
Fax Number
716-836-4696
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
125.060174 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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