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General NPI Number Information
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NPI Number | 1780630194
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Entity Type | Organization
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Legal Business Name | MFHS PHYSICIANS' EMERGENCY SERVICES, PC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1540 MAPLE RD ER
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-3647
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Country | US
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Telephone | 716-568-6550
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Fax | 716-564-1134
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Provider Business Mailing Address
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Address Line | 305 CAYUGA RD SUITE 190
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City | CHEEKTOWAGA
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State | NY
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Zip | 14225-1980
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Country | US
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Telephone | 716-691-8838
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Fax | 716-564-1134
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Authorized Official
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Title or Position | C.E.O
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Name | DR. MARK RICHARD PUNDT
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Credential | MD
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Telephone | 716-691-8838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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