National Provider Identifier

Jenna Marie Gage, DO

Jenna Marie Gage, DO is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Williamsville, NY and a listed phone number of (716) 630-1112.

NPI 1417105735Williamsville, NYDiagnostic Radiology Physician

Profile Overview

NPI
1417105735
Provider Type
Individual
Primary Specialty
Diagnostic Radiology Physician
Enumeration Date
August 28, 2008
Last Updated
December 13, 2021

Practice Location

  • 325 Essjay RD
  • Williamsville, NY 14221-8243

Phone: (716) 630-1112

Mailing Address

  • 425 Essjay RD Ste 170
  • Williamsville, NY 14221-8235

Specialties

  • Diagnostic Radiology Physician (2085R0202X)

Endpoints

  • production@direct.buffalomedicalgroup.com

    Direct Messaging Address | Buffalo Medical Group, P.C. | Williamsville, NY 14221

Full Record
NPI
1417105735
Entity Type
Individual
Last Name
Gage
First Name
Jenna
Middle Name
Marie
Credential
DO
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
Mailing Fax
(716) 817-1726
Practice Street Address
325 Essjay RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-8243
Practice Country
US
Practice Phone
(716) 630-1112
Practice Fax
(716) 631-0584
Enumeration Date
August 28, 2008
Last Updated
December 13, 2021
Sex
Female
Sole Proprietor
No
Certification Date
December 13, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diagnostic Radiology Physician (2085R0202X)