Individual
DR. PETER E NNAEMEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
145021
NY
208C00000X
Colon & Rectal Surgery Physician
145021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01008873
—
NY
Enumeration date
03/23/2006
Last updated
03/05/2014
Update your record
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