Individual
DR. FEDERICO A. PEGUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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) 785-9650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD016059E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007411820005
—
PA
Enumeration date
06/17/2006
Last updated
12/16/2010
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