National Provider Identifier

Jonathan Norwood Coolidge, M.D

Jonathan Norwood Coolidge, M.D is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Buffalo, NY and a listed phone number of (716) 859-1499.

NPI 1942515994Buffalo, NYEmergency Medicine Physician

Profile Overview

NPI
1942515994
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
August 15, 2010
Last Updated
September 11, 2019

Practice Location

  • 100 High St
  • Buffalo, NY 14203-1126

Phone: (716) 859-1499

Mailing Address

  • 30 Mayville Ave
  • Buffalo, NY 14217-1821

Specialties

  • Emergency Medicine Physician (207P00000X)
Full Record
NPI
1942515994
Entity Type
Individual
Last Name
Coolidge
First Name
Jonathan
Middle Name
Norwood
Name Prefix
Dr.
Credential
M.D
Mailing Street Address
30 Mayville Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14217-1821
Mailing Country
US
Mailing Phone
(518) 669-8327
Practice Street Address
100 High St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1126
Practice Country
US
Practice Phone
(716) 859-1499
Practice Fax
(716) 859-1555
Enumeration Date
August 15, 2010
Last Updated
September 11, 2019
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X)
Other Identifiers
03371280 (NY)