Provider First Line Business Practice Location Address:
462 GRIDER ST
Provider Second Line Business Practice Location Address:
UNIVERSITY AT BUFFALO SURGEONS, INC
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14215-3021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-888-4889
Provider Business Practice Location Address Fax Number:
716-849-5620
Provider Enumeration Date:
07/23/2008