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Joseph Mathis Quackenbush
Medical Physician Assistant in Buffalo, New York
NPI 1821629510

Joseph Mathis Quackenbush is a Medical Physician Assistant based in Buffalo, NY and is specialized in Medical. Joseph Mathis Quackenbush practices in Buffalo, NY. The NPI Number for Joseph Mathis Quackenbush is 1821629510 and holds a License No. (New York).

The current practice location address for Joseph Mathis Quackenbush is 155 Lawn Ave, Buffalo, NY and can be reached out via phone at 716-875-2904.

Location: 155 Lawn Ave, Buffalo, NY, 14207-1816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821629510
Provider Name
Joseph Mathis Quackenbush
Credential
Provider Entity Type
Individual
Gender
Male
Address
155 Lawn Ave, Buffalo, NY, 14207-1816
Phone Number
716-875-2904
Fax Number
Provider Enumeration Date
01/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
155 Lawn Ave
City
Buffalo
State
New York
Zip
14207-1816
Phone Number
716-875-2904
Fax Number
person
Provider Business Mailing Address Details
Address
155 Lawn Ave
City
Buffalo
State
New York
Zip
14207-1816
Phone Number
716-875-2904
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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