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1710062351
MATTHEW PETERSEN
EAST SETAUKET, NY
NPI
1710062351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: NY 011361)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
Mr. MATTHEW PETERSEN P.A.
24 RESEARCH WAY, SUITE 500
EAST SETAUKET, NY 11733
Phone number: 631-444-1910
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Mailing Address
Mr. MATTHEW PETERSEN P.A.
P.O. BOX 1559
STONY BROOK, NY 11790
Phone number:
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