Pediatric Service Group

NPI #1770539066 in Syracuse, New York

Provider Information

NPI Number: 1770539066
Entity Type: Organization
Organization Name: Pediatric Service Group
Primary Specialty: Pediatrics
Enumeration Date: May 26, 2006
Last Updated: Oct 22, 2010

Practice Location

Address: 750 E. ADAMS ST.
Address 2: 5TH FLOOR
City: Syracuse
State: New York
ZIP Code: 13210
Phone: (315) 464-5450

Authorized Official

Name: DR. THOMAS WELCH, MD
Title: CHAIRMAN OF DEPARTMENT
Phone: (315) 464-5450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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