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NPI Code Detail

MEDICARE: EDWARD KELLY BARTELS MD

MEDICARE: EDWARD KELLY BARTELS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician146718NY

General Provider Information

NPI Number : 1538100755
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD KELLY BARTELS MD
Provider Business Mailing Address
First Line : 6440 TRANSIT RD
Second Line :
City : DEPEW
State : NY
Zip : 14043-1033
Country : US
Telephone Number : 716-684-5454
Fax Number : 716-685-9566
Provider Business Practice Location Address
First Line : 1430 COLVIN BLVD
Second Line :
City : BUFFALO
State : NY
Zip : 14223-1440
Country : US
Telephone Number : 716-877-1221
Fax Number : 716-877-1096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 09/14/2010

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