National Provider Identifier
Paul Joseph Wirth
Paul Joseph Wirth is listed in the NPPES registry with a primary specialty of Dermatology Physician in Orchard Park, NY and a listed phone number of (716) 656-4477.
Profile Overview
- NPI
- 1053846691
- Provider Type
- Individual
- Primary Specialty
- Dermatology Physician
- Enumeration Date
- April 20, 2017
- Last Updated
- February 07, 2022
Practice Location
- 3900 N Buffalo St
- Orchard Park, NY 14127-1842
Phone: (716) 656-4477
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Dermatology Physician (207N00000X)
- MOHS-Micrographic Surgery Physician (207ND0101X)
Full Record
- NPI
- 1053846691
- Entity Type
- Individual
- Last Name
- Wirth
- First Name
- Paul
- Middle Name
- Joseph
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Practice Street Address
- 3900 N Buffalo St
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1842
- Practice Country
- US
- Practice Phone
- (716) 656-4477
- Enumeration Date
- April 20, 2017
- Last Updated
- February 07, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 07, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dermatology Physician (207N00000X), MOHS-Micrographic Surgery Physician (207ND0101X)