Organization
PETER T GO, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER T GO M.D. (OWNER)
(814) 445-3469
Entity
Organization
Contact information
Practice address
867 W MAIN ST, SOMERSET, PA 15501-1235
(814) 445-3469
(814) 445-4500
Mailing address
867 W MAIN ST, SOMERSET, PA 15501-1235
(814) 445-3469
(814) 445-4500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD038319-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010826000001
—
PA
Enumeration date
11/17/2006
Last updated
07/01/2010
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