Organization
FEDERICO PEGUERO, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FEDERICO PEGUERO M.D. (PRESIDENT)
(215) 785-9392
Entity
Organization
Contact information
Practice address
501 BATH RD, BRISTOL, PA 19007-3101
(215) 785-9392
(215) 785-9734
Mailing address
PO BOX 3010, CHERRY HILL, NJ 08034-0269
(215) 785-9392
(215) 785-9734
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD016059E
PA
Other
Enumeration date
08/05/2007
Last updated
12/08/2010
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