Individual
PETER J COLLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 771-2159
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
023111
NY
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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