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Individual

DR. PAUL K PIETROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 MARYS AVE, KINGSTON, NY 12401
(845) 437-5000
(845) 339-4941
Mailing address
243 NORTH RD, SUITE 304, POUGHKEEPSIE, NY 12601-1172
(845) 437-5000

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2358511
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02741651
NY
Enumeration date
09/14/2006
Last updated
09/08/2021
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