National Provider Identifier

Peter Jonathan Frederick, MD

Peter Jonathan Frederick, MD is listed in the NPPES registry with a primary specialty of Gynecologic Oncology Physician in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1558579078Buffalo, NYGynecologic Oncology Physician

Profile Overview

NPI
1558579078
Provider Type
Individual
Primary Specialty
Gynecologic Oncology Physician
Enumeration Date
May 18, 2007
Last Updated
July 15, 2019

Practice Location

  • Elm And Carlton Streets
  • Buffalo, NY 14263-0001

Phone: (716) 845-2300

Mailing Address

  • Elm And Carlton St
  • Buffalo, NY 14263-0001

Specialties

  • Gynecologic Oncology Physician (207VX0201X)
Full Record
NPI
1558579078
Entity Type
Individual
Last Name
Frederick
First Name
Peter
Middle Name
Jonathan
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) 845-7608
Practice Street Address
Elm And Carlton Streets
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263-0001
Practice Country
US
Practice Phone
(716) 845-2300
Practice Fax
(716) 845-7608
Enumeration Date
May 18, 2007
Last Updated
July 15, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Gynecologic Oncology Physician (207VX0201X)
Other Identifiers
03241976 (NY)