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Individual

MR. PETER JOSEPH COCCARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1046 E WENDOVER AVE, GREENSBORO, NC 27405-6712
(336) 272-1050
(336) 272-1110
Mailing address
1046 E WENDOVER AVE, GUILFORD CHILD HEALTH, INC, GREENSBORO, NC 27405-6712
(336) 272-1050
(336) 272-1110

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200901444
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810002576
WV
05
5912657
NC
Enumeration date
09/15/2005
Last updated
10/25/2011
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