Provider First Line Business Practice Location Address:
100 HIGH STREET, B2 ORTHO
Provider Second Line Business Practice Location Address:
BUFFALO GENERAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-859-1256
Provider Business Practice Location Address Fax Number:
716-859-4586
Provider Enumeration Date:
08/12/2013