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Individual

MARTEN B PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3 IRONGATE CENTER, GLENS FALLS, NY 12801-3473
(518) 793-4409
(518) 615-0148
Mailing address
3 IRONGATE CTR STE 2, GLENS FALLS, NY 12801-3473
(518) 793-4409

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
308195
NY
208D00000X
General Practice Physician
308195
NY

Other

Enumeration date
03/26/2019
Last updated
09/22/2022
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