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1992315311
PETERSON METELLUS
BROOKLYN, NY
NPI
1992315311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-08-01
Last Update Date
2020-08-01
Business Address
PETERSON METELLUS MD
1545 ATLANTIC AVE
BROOKLYN, NY 11213-1122
Phone number: 718-500-7435
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Mailing Address
PETERSON METELLUS MD
1467 E 104TH ST
BROOKLYN, NY 11236-4515
Phone number: 718-500-7435
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