Basic Information
| Provider Information | |||||||||
| NPI: | 1396853537 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUTZ | ||||||||
| FirstName: | ABRAHAM | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25 RUTH ELLEN WAY | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146243507 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053597705 | ||||||||
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| Practice Location | |||||||||
| Address1: | 196 NORTH ST | ||||||||
| Address2: | |||||||||
| City: | GENEVA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 144561651 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3157874000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2006 | ||||||||
| LastUpdateDate: | 09/11/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 246092 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.