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1033463823
PETER MA
BRONX, NY
NPI
1033463823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 016179)
Enumeration Date
2012-11-01
Last Update Date
2012-11-01
Business Address
-- PETER MA
1825 EASTCHESTER RD
BRONX, NY 10461-2301
Phone number: 718-904-2400
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Mailing Address
-- PETER MA
658 STEWART AVE
STATEN ISLAND, NY 10314-4219
Phone number: 646-431-8186
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