NPI | 1548281538 |
---|---|
Doing Business As | OSWEGO FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | GERALD THOMAS SIMMONS Physician 315-342-7360 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 2116251) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2008-03-12 |