Healthcare Provider Details

I. General information

NPI: 1093706657
Provider Name (Legal Business Name): CHRISTOPHER R SPRINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 11/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 ABBOTT RD SUITE 304
BUFFALO NY
14220-1700
US

IV. Provider business mailing address

515 ABBOTT RD SUITE 304
BUFFALO NY
14220-1700
US

V. Phone/Fax

Practice location:
  • Phone: 716-995-8801
  • Fax:
Mailing address:
  • Phone: 716-995-8801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number214979
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: