National Provider Identifier
Paul Edward Dejac, MD
Paul Edward Dejac, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 883-0515.
Profile Overview
- NPI
- 1457796997
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- May 09, 2013
- Last Updated
- September 20, 2022
Practice Location
- 656 Elmwood Ave
- Buffalo, NY 14222-1836
Phone: (716) 883-0515
Mailing Address
- Elm And Carlton St
- Buffalo, NY 14263-0001
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1457796997
- Entity Type
- Individual
- Last Name
- Dejac
- First Name
- Paul
- Middle Name
- Edward
- Credential
- MD
- Mailing Street Address
- Elm And Carlton St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14263-0001
- Mailing Country
- US
- Mailing Phone
- (716) 845-2300
- Mailing Fax
- (716) 845-4693
- Practice Street Address
- 656 Elmwood Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14222-1836
- Practice Country
- US
- Practice Phone
- (716) 883-0515
- Practice Fax
- (716) 883-8764
- Enumeration Date
- May 09, 2013
- Last Updated
- September 20, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 20, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)