National Provider Identifier
Thaddeus Patrick Waters, MD
Thaddeus Patrick Waters, MD is listed in the NPPES registry with a primary specialty of Maternal & Fetal Medicine Physician in Buffalo, NY and a listed phone number of (716) 323-0615.
Profile Overview
- NPI
- 1912102229
- Provider Type
- Individual
- Primary Specialty
- Maternal & Fetal Medicine Physician
- Enumeration Date
- June 18, 2007
- Last Updated
- November 21, 2022
Practice Location
- 1001 Main St
- Buffalo, NY 14203-1009
Phone: (716) 323-0615
Mailing Address
- 8869 Lake Glen Ct
- Clarence Center, NY 14032-9406
Specialties
- Maternal & Fetal Medicine Physician (207VM0101X)
- Maternal & Fetal Medicine Physician (207VM0101X)
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1912102229
- Entity Type
- Individual
- Last Name
- Waters
- First Name
- Thaddeus
- Middle Name
- Patrick
- Credential
- MD
- Mailing Street Address
- 8869 Lake Glen Ct
- Mailing City
- Clarence Center
- Mailing State
- NY
- Mailing ZIP Code
- 14032-9406
- Mailing Country
- US
- Mailing Phone
- (216) 258-4294
- Practice Street Address
- 1001 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1009
- Practice Country
- US
- Practice Phone
- (716) 323-0615
- Enumeration Date
- June 18, 2007
- Last Updated
- November 21, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 21, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Maternal & Fetal Medicine Physician (207VM0101X), Maternal & Fetal Medicine Physician (207VM0101X), Obstetrics & Gynecology Physician (207V00000X)
- Other Identifiers
- 3068782 (OH)