Kenmore Pediatric Assoc., P.c.

NPI #1215957063 in Buffalo, New York

Provider Information

NPI Number: 1215957063
Entity Type: Organization
Organization Name: Kenmore Pediatric Assoc., P.c.
Primary Specialty: Pediatrics
Enumeration Date: Jul 21, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 341 ENGLEWOOD AVE
City: Buffalo
State: New York
ZIP Code: 14223-2819
Phone: (716) 833-2333

Authorized Official

Name: DR. ROGER A FORDEN, M.D.
Title: PRESIDENT
Phone: (716) 833-2333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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