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Organization
PETER CLARK, MD, PC
Active
Organization
PETER CLARK, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CLARK (PRESIDENT)
(607) 898-3341
Entity
Organization
Contact information
Practice address
220 W SOUTH ST, GROTON, NY 13073-1237
(607) 898-3341
(607) 898-3982
Mailing address
220 W SOUTH ST, GROTON, NY 13073-1237
(607) 898-3982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
181768
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01314507
—
NY
Enumeration date
09/11/2007
Last updated
09/11/2007
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