Individual
EDUARDO AURELIO PEGUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K8810
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0464349
—
TX
01
—
8S6090
BCBS
TX
Enumeration date
11/15/2007
Last updated
11/18/2016
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