National Provider Identifier

Fred Douglas Archer III, MD

Fred Douglas Archer III, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Buffalo, NY and a listed phone number of (716) 323-2000.

NPI 1982702833Buffalo, NYPediatrics Physician

Profile Overview

NPI
1982702833
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
September 21, 2006
Last Updated
June 12, 2023

Practice Location

  • 818 Ellicott St
  • Buffalo, NY 14203-1021

Phone: (716) 323-2000

Mailing Address

  • 1001 Main St Fl 5
  • Buffalo, NY 14203-1009

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1982702833
Entity Type
Individual
Last Name
Archer
First Name
Fred
Middle Name
Douglas
Name Prefix
Dr.
Name Suffix
III
Credential
MD
Mailing Street Address
1001 Main St Fl 5
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1009
Mailing Country
US
Mailing Phone
(716) 323-0034
Mailing Fax
(716) 323-0292
Practice Street Address
818 Ellicott St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1021
Practice Country
US
Practice Phone
(716) 323-2000
Practice Fax
(713) 323-0292
Enumeration Date
September 21, 2006
Last Updated
June 12, 2023
Sex
Male
Sole Proprietor
No
Certification Date
June 12, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)