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NPI Code Detail

MEDICARE: EDWARD J METZGER JR. MD

MEDICARE: EDWARD J METZGER JR. 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
1363LA2200XAdult Health Nurse PractitionerF302895NY

General Provider Information

NPI Number : 1649245812
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD J METZGER JR. MD
Provider Business Mailing Address
First Line : 640 ELLICOTT ST
Second Line : SUITE 105
City : BUFFALO
State : NY
Zip : 14203-1245
Country : US
Telephone Number : 716-893-1010
Fax Number : 716-893-1002
Provider Business Practice Location Address
First Line : 40 LA RIVIERE DR STE 201
Second Line :
City : BUFFALO
State : NY
Zip : 14202-4344
Country : US
Telephone Number : 716-893-1010
Fax Number : 716-893-1002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 05/20/2022

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Directions to “ EDWARD J METZGER JR. MD” Practice Location

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