National Provider Identifier
Jerald Robert Sultz, M.D.
Jerald Robert Sultz, M.D. is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician in Williamsville, NY and a listed phone number of (716) 634-1970.
Profile Overview
- NPI
- 1699842781
- Provider Type
- Individual
- Primary Specialty
- Plastic Surgery Physician
- Enumeration Date
- November 30, 2006
- Last Updated
- June 05, 2008
Practice Location
- 1301 N Forest RD
- Suite 1
- Williamsville, NY 14221-3277
Phone: (716) 634-1970
Specialties
- Plastic Surgery Physician (208200000X)
Full Record
- NPI
- 1699842781
- Entity Type
- Individual
- Last Name
- Sultz
- First Name
- Jerald
- Middle Name
- Robert
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 1301 N Forest RD
- Mailing Address Line 2
- Suite 1
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-3277
- Mailing Country
- US
- Mailing Phone
- (716) 634-1970
- Mailing Fax
- (716) 634-3845
- Practice Street Address
- 1301 N Forest RD
- Practice Address Line 2
- Suite 1
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3277
- Practice Country
- US
- Practice Phone
- (716) 634-1970
- Practice Fax
- (716) 634-3845
- Enumeration Date
- November 30, 2006
- Last Updated
- June 05, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Plastic Surgery Physician (208200000X)
- Other Identifiers
- CPS181975-4B (NY, Worker'S Compensation), 16-1605603 (NY, Tax Identifer), 1309949 (NY, Indepedent Health), 1320353 (NY, United Empire), 000524867 (NY, Blue Cross Blue Shield), 00010309402 (NY, Univera), 000524867002 (NY, Community Blue), 50599 (NY, Choice Care)