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Individual
DR. EUGENE PETRA
Active
Individual
DR. EUGENE PETRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
181007
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01444086
—
NY
Enumeration date
01/06/2006
Last updated
02/08/2008
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