Provider Demographics
NPI:1386601607
Name:VOGT, DAVID G SR (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:VOGT
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:515 ABBOTT ROAD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-1114
Mailing Address - Country:US
Mailing Address - Phone:716-826-6628
Mailing Address - Fax:716-828-3448
Practice Address - Street 1:565 ABBOTT ROAD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-1114
Practice Address - Country:US
Practice Address - Phone:716-826-6628
Practice Address - Fax:716-828-3448
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2021-06-14
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Provider Licenses
StateLicense IDTaxonomies
NY1645891207L00000X
NY164589-01207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2005651OtherINDEPENDENT HEALTH
NY00011177002OtherUNIVERA
NY000506122005OtherBLUE CROSS
NY01143526Medicaid
D01521Medicare UPIN
NY01143526Medicaid