National Provider Identifier
Jason Edwards, M.D.
Jason Edwards, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 898-3152.
Profile Overview
- NPI
- 1124472204
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 14, 2016
- Last Updated
- August 13, 2020
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3098
Phone: (716) 898-3152
Mailing Address
- 908 Niagara Falls Blvd Ste 208
- North Tonawanda, NY 14120-2019
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1124472204
- Entity Type
- Individual
- Last Name
- Edwards
- First Name
- Jason
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 908 Niagara Falls Blvd Ste 208
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2019
- Mailing Country
- US
- Mailing Phone
- (716) 692-3302
- Mailing Fax
- (833) 953-2016
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3098
- Practice Country
- US
- Practice Phone
- (716) 898-3152
- Enumeration Date
- April 14, 2016
- Last Updated
- August 13, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 13, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)