Diane M Den Haese Medical Services Pllc

NPI #1679766547 in Buffalo, New York

Provider Information

NPI Number: 1679766547
Entity Type: Organization
Organization Name: Diane M Den Haese Medical Services Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Aug 23, 2007
Last Updated: Nov 13, 2007

Practice Location

Address: 1540 MAPLE RD
City: Buffalo
State: New York
ZIP Code: 14221-3647
Phone: (716) 568-3600

Authorized Official

Name: MRS. DIANE M DEN HAESE, M.D.
Title: PRESIDENT
Phone: (716) 989-1033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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