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Individual

DR. PETER JAMES PEMA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4581 LANGPORT RD, COLUMBUS, OH 43220-4265
(614) 451-4235
Mailing address
4581 LANGPORT RD, COLUMBUS, OH 43220-4265
(614) 451-4235

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34-001151
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0121200
OH
Enumeration date
02/17/2013
Last updated
02/17/2013
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