PHOENIX RISING MEDICAL, PC
Osteopathic Medicine at Sheridan Dr, Tonawanda, NY

License number
New York 183042
Category
Osteopathic Medicine
Type
Pulmonary Disease
Owner
Name: DR. TAJUDDIN M JIVA MD
Title: OWNER
Phone: (716) 688-0088
Address
Address
2545 Sheridan Dr, Tonawanda, NY 14150
National Provider ID: 1649470790
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Phoenix Rising Medical, PC

2545 Sheridan Dr, Tonawanda, NY 14150

Industry:
Medical Doctor's Office
Phone:
(716) 836-1388 (Phone)
Pulmonary Diseases, Md Mph Mba, Md Mph Mbajd , Owners:
Taj M. Jiva (Chairman of the Board, Chb),Pat Ceaalka (Office Manager),Tajuddin M. Jiva (Pulmonary Diseases, Md Mph Mba, Md Mph Mbajd , Owner)

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