Individual
PETER H MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4720
(315) 464-4905
Mailing address
5784 WIDEWATERS PKWY, FL 2, SYRACUSE, NY 13214-1890
(315) 469-1130
(315) 469-1134
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
127666
OH
207L00000X
Anesthesiology Physician
327489
NY
207LP3000X
Pediatric Anesthesiology Physician
0101268307
VA
207LP3000X
Pediatric Anesthesiology Physician
127666
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
327489
NY
Other
Enumeration date
06/07/2010
Last updated
08/28/2024
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