Internal Medicine Balltown Rd

NPI 1104109065 - Internal Medicine - 207R00000X

NPI Details
NPI 1104109065
Enumeration Date 09/27/2011
Last Updated 09/27/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name PETER A PETER
Position SITE MEDICAL DIRECTOR
Phone (518) 374-1444
Fax (518) 374-0491
Practice Location
2546 BALLTOWN ROAD
SUITE 200
SCHENECTADY NY, 12309-1079, US
Phone (518) 374-1444
Fax (518) 374-0491
Business Location
2546 BALLTOWN ROAD
SUITE 200
SCHENECTADY NY, 12309-1079, US
Phone (518) 374-1444
Fax (518) 374-0491
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 154946
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According to our database, Internal Medicine Balltown Rd NPI is 1104109065, taxonomy code is 207R00000X and license number is 154946, license state is located at New York. Internal Medicine Balltown Rd physically located at 2546 Balltown Road, Schenectady NY, 12309-1079. NPI Number 1033115704 has the healthcare provider type.

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1104109065 NPI number is provided on an as is basis without warranty of any kind. 1104109065 is maintained by the National Plan & Provider Enumeration System. The contents of Internal Medicine Balltown Rd are for informational purposes only.