Individual
JILL CHRISTINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
622 WASHINGTON ST, COMPREHENSIVE WOMENS HEALTH SERVICES, WATERTOWN, NY 13601-4036
(315) 788-2003
(315) 788-7087
Mailing address
445 FACTORY ST, WATERTOWN, NY 13601-2729
(785) 223-4292
(877) 834-1323
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
231343
NY
207Q00000X
Family Medicine Physician
Primary
231343
NY
Other
Enumeration date
06/28/2005
Last updated
03/26/2010
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