Peru Family Medicine, Pllc

NPI #1255699138 in Peru, New York

Provider Information

NPI Number: 1255699138
Entity Type: Organization
Organization Name: Peru Family Medicine, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Apr 27, 2012
Last Updated: Apr 27, 2012

Practice Location

Address: 9 ELM ST
City: Peru
State: New York
ZIP Code: 12972-2812
Phone: (518) 643-7037

Authorized Official

Name: DR. DAVID W SMITH, M.D.
Title: SOLE MEMBER
Phone: (518) 643-7037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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