National Provider Identifier
Charles Lawrence Roche, MD
Charles Lawrence Roche, MD is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Buffalo, NY and a listed phone number of (716) 845-2300.
Profile Overview
- NPI
- 1639168677
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- October 20, 2005
- Last Updated
- February 09, 2021
Practice Location
- Elm And Carlton St
- Buffalo, NY 14263-0001
Phone: (716) 845-2300
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1639168677
- Entity Type
- Individual
- Last Name
- Roche
- First Name
- Charles
- Middle Name
- Lawrence
- 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) 845-8818
- Practice Street Address
- Elm And Carlton St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14263-0001
- Practice Country
- US
- Practice Phone
- (716) 845-2300
- Practice Fax
- (716) 845-8818
- Enumeration Date
- October 20, 2005
- Last Updated
- February 09, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 09, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)
- Other Identifiers
- 02556967 (NY)