Individual
DR. WALTER PEGOLI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 ELMWOOD AVE, BOX SURG, ROCHESTER, NY 14642-8410
(585) 275-4435
(585) 273-1252
Mailing address
601 ELMWOOD AVE, BOX SURG, ROCHESTER, NY 14642-8410
(585) 275-4435
(585) 273-1252
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
207965
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01741551
—
NY
Enumeration date
06/26/2006
Last updated
06/30/2023
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