National Provider Identifier

Theodore Von Wells Jr., M.D.

Theodore Von Wells Jr., M.D. is listed in the NPPES registry with a primary specialty of Gastroenterology Physician in Amherst, NY and a listed phone number of (716) 834-6152.

NPI 1619958816Amherst, NYGastroenterology Physician

Profile Overview

NPI
1619958816
Provider Type
Individual
Primary Specialty
Gastroenterology Physician
Enumeration Date
November 07, 2005
Last Updated
September 09, 2014

Practice Location

  • 6000 N Bailey Ave
  • Amherst, NY 14226-5102

Phone: (716) 834-6152

Specialties

  • Gastroenterology Physician (207RG0100X)
Full Record
NPI
1619958816
Entity Type
Individual
Last Name
Wells
First Name
Theodore
Middle Name
Von
Name Suffix
Jr.
Credential
M.D.
Mailing Street Address
6000 N Bailey Ave
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-5102
Mailing Country
US
Mailing Phone
(716) 834-6152
Mailing Fax
(716) 834-5755
Practice Street Address
6000 N Bailey Ave
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-5102
Practice Country
US
Practice Phone
(716) 834-6152
Practice Fax
(716) 834-5755
Enumeration Date
November 07, 2005
Last Updated
September 09, 2014
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Gastroenterology Physician (207RG0100X)
Other Identifiers
000524945009 (NY, Bc/Bs), 2309846 (NY, Iha), 00010305402 (NY, Univera), 01772027 (NY)