Organization
PEDIATRIC ASSOCIATES OF WATERTOWN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO F. VICTORIA M.D. (PRESIDENT)
(315) 782-4391
Entity
Organization
Contact information
Practice address
18969 US ROUTE 11, WATERTOWN, NY 13601-5320
(315) 782-4391
(315) 788-8319
Mailing address
PO BOX 6600, WATERTOWN, NY 13601-6600
(315) 782-4391
(315) 788-8319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
02/20/2012
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