Eden Health Medical of Nj PC

NPI #1790395499 in Buffalo, New York

Provider Information

NPI Number: 1790395499
Entity Type: Organization
Organization Name: Eden Health Medical of Nj PC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 6, 2020
Last Updated: Sep 13, 2024

Practice Location

Address: 77 GOODELL ST STE 510
City: Buffalo
State: New York
ZIP Code: 14203-1258
Phone: (917) 261-4414

Authorized Official

Name: DONALD WAYNE JENKINS, MD
Title: PRESIDENT
Phone: (917) 261-4414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Physical Therapist	225100000X
Internal Medicine	207R00000X	Primary

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