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1881709079
WILLIAM A PETERSEN
LATHAM, NY
NPI
1881709079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: NY 080697)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
-- WILLIAM A PETERSEN M.D.
10 CENTURY HILL DR
LATHAM, NY 12110-2162
Phone number: 518-783-5563
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Mailing Address
-- WILLIAM A PETERSEN M.D.
10 CENTURY HILL DR
LATHAM, NY 12110-2162
Phone number: 518-783-5563
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