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Jill Christine Peterson, DO

Family Medicine in Watertown, NY. Individual provider (NPI-1).

NPI number1629074232
StatusActive
Last updated in NPPESMar 26, 2010

Details

NPI
1629074232
Entity type
Individual (NPI-1)
Name
Jill Christine Peterson
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Jun 28, 2005
Last updated
Mar 26, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine231343NYYes
207P00000X Emergency Medicine231343NY

Practice location

622 Washington St
Comprehensive Womens Health Services
Watertown, NY 13601-4036

Phone 315-788-2003 · Fax 315-788-7087

Mailing address

445 Factory St
Watertown, NY 13601-2729

Phone 785-223-4292 · Fax 877-834-1323

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