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1184616575
THEODORE M PETKOV
JOHNSON CITY, NY
NPI
1184616575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NY 165516)
Enumeration Date
2005-08-22
Last Update Date
2011-11-19
Business Address
-- THEODORE M PETKOV MD
33-57 HARRISON ST
JOHNSON CITY, NY 13790-2143
Phone number: 607-763-6412
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Mailing Address
-- THEODORE M PETKOV MD
346 GRAND AVE
JOHNSON CITY, NY 13790-2558
Phone number: 607-770-0025
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