Peru Family Medicine, Pllc

NPI 1255699138 - Internal Medicine - 207R00000X

NPI Details
NPI 1255699138
Enumeration Date 04/27/2012
Last Updated 04/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DAVID W DAVID
Position SOLE MEMBER
Phone (518) 643-7037
Fax (518) 643-2125
Practice Location
9 ELM ST
PERU NY, 12972-2812, US
Phone (518) 643-7037
Fax (518) 643-2125
Business Location
PO BOX 599
PERU NY, 12972-0599, US
Phone (518) 643-7037
Fax (518) 643-2125
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 190218
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According to our database, Peru Family Medicine, Pllc NPI is 1255699138, taxonomy code is 207R00000X and license number is 190218, license state is located at New York. Peru Family Medicine, Pllc physically located at 9 Elm St, Peru NY, 12972-2812. NPI Number 1033115704 has the healthcare provider type.

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1255699138 NPI number is provided on an as is basis without warranty of any kind. 1255699138 is maintained by the National Plan & Provider Enumeration System. The contents of Peru Family Medicine, Pllc are for informational purposes only.