JOHN M WADSWORTH MD PC
Psychiatric at Summer St, Buffalo, NY

License number
New York 112646
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. JOHN M WADSWORTH MD
Title: OWNER
Phone: (716) 883-5367
Address
Address
313 Summer St, Buffalo, NY 14222
National Provider ID: 1144474735
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOHN M. WADSWORTH, M.D., PC

313 Summer St, Buffalo, NY 14222

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
John M Wadworth MD PC Inc
Inactive reason:
Dissolution
Registration:
Oct 3, 1977
Inactive since:
Apr 7, 2015
State ID:
450037
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Medical Doctor, Owner, President, Psychiatry:
John M. Wadsworth (Medical Doctor, Owner, President, Psychiatry), 313 Summer St, Buffalo, NY 14222 (Physical)

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