Waters, Thaddeus Patrick

Waters, Thaddeus Patrick is an individual health care provider with primary practice located at 1001 Main St , Buffalo NY 14203-1009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Waters, Thaddeus Patrick can be contacted via phone (716) 323-0615.

Contact Information

Primary practice address
1001 Main St Buffalo NY 14203-1009
Phone: (716) 323-0615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35089915 Ohio
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 036131903 Illinois
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 314132 New York

Profile Details

NPI number 1912102229
LBN Legal business name Waters, Thaddeus Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Nov 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912102229 NPPES
Ohio MEDICAID 3068782

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