Individual
DR. JOHN JOSEPH PETOSA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 EAST ADAMS ST., SYRACUSE, NY 13210-2306
(315) 464-4363
(315) 464-8690
Mailing address
750 EAST ADAMS ST., SYRACUSE, NY 13210-2306
(315) 464-4363
(315) 464-8690
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
326512
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
63941
TN
Other
Enumeration date
03/26/2018
Last updated
07/15/2024
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