Zambron, Mark Richard

Zambron, Mark Richard is an individual health care provider with primary practice located at 2128 Elmwood Ave , Buffalo NY 14207-1910. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Zambron, Mark Richard can be contacted via phone (716) 874-4500.

Contact Information

Primary practice address
2128 Elmwood Ave Buffalo NY 14207-1910
Phone: (716) 874-4500
Fax: (716) 874-8145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 209551 1 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 209551 1 New York

Profile Details

NPI number 1669435103
LBN Legal business name Zambron, Mark Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Nov 28th, 2011 - about 14 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 1669435103 NPPES
New York MEDICAID 01465154

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