Organization
PETER R MAGGIORE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER R MAGGIORE MD (OWNER)
(518) 446-1162
Entity
Organization
Contact information
Practice address
315 S MANNING BLVD, SUITE 250, ALBANY, NY 12208-1707
(518) 446-1162
Mailing address
PO BOX 11471, PETER R MAGGIORE MD PC, ALBANY, NY 12211-0471
(518) 444-6116
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01496588
—
NY
Enumeration date
08/15/2005
Last updated
12/18/2007
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