Healthcare Provider Details
I. General information
NPI: 1891787685
Provider Name (Legal Business Name): EUGENE M SPEAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/17/2005
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
565 ABBOTT RD
BUFFALO NY
14220-2039
US
IV. Provider business mailing address
144 GENESEE ST
BUFFALO NY
14203-1560
US
V. Phone/Fax
- Phone: 716-826-7000
- Fax:
- Phone: 716-206-1510
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | MD17607 |
| License Number State | OR |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | 342741 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: