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NPI Code Detail

MEDICARE: JUDY ANN WESOLOWSKI MD

MEDICARE:   JUDY ANN WESOLOWSKI  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
12083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) Physician202731NY
2207V00000XObstetrics & Gynecology Physician202730NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528042108
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY ANN WESOLOWSKI MD
Provider Business Mailing Address
First Line : PO BOX 488
Second Line :
City : BUFFALO
State : NY
Zip : 14240-0488
Country : US
Telephone Number : 716-852-4772
Fax Number :
Provider Business Practice Location Address
First Line : 415 TREMONT ST STE 4
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-6135
Country : US
Telephone Number : 716-656-4077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 01/08/2024

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Directions to “ JUDY ANN WESOLOWSKI MD” Practice Location

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