| NPI | 1255699138 |
|---|---|
| Doing Business As | PERU FAMILY HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | DAVID W SMITH Sole Member 518-643-7037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 190218) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |