Individual
DR. PETER JOCSON ARCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501
(315) 798-9788
(315) 798-9766
Mailing address
2405 GENESEE ST, UTICA, NY 13501
(315) 798-9788
(315) 798-9766
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
143331
NY
207L00000X
Anesthesiology Physician
46221
MA
207L00000X
Anesthesiology Physician
D0020875
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12033451
CAQH
—
05
—
684500200
—
MD
Enumeration date
06/28/2005
Last updated
09/17/2012
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