John Charles Stubenbord


Address: 717 Girard Ave, East Aurora, NY 14052-1801
Phone: 7166550024

John Charles Stubenbord (NPI# 1578503728, PAC ID# 9234397860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1578503728
PAC ID by PECOS 9234397860
Professional Enrollment ID I20120228000396
Full Name John Charles Stubenbord
Address 717 Girard Ave
East Aurora
NY 14052-1801
Phone Number 7166550024
Gender M
Medical School STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year 1975
Primary Specialty INTERNAL MEDICINE
Secondary Specialties FAMILY PRACTICE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330279 MERCY HOSPITAL OF BUFFALO
330078 SISTERS OF CHARITY HOSPITAL

Other Locations

Address Phone Organization
717 Girard Ave, East Aurora, NY 14052-1801 7166550024

Organization Information

Office Location

Street Address 717 GIRARD AVE
City EAST AURORA
State NY
Zip 14052-1801

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Competitor

Search similar physicians

City EAST AURORA
Zip Code 14052
Specialty INTERNAL MEDICINE
City + Specialty EAST AURORA + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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