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Individual
PETER TAKACS
Active
Individual
PETER TAKACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101055079
VA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
0101055079
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174549968
—
NC
05
—
1174549968
—
VA
Enumeration date
07/14/2006
Last updated
02/21/2014
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