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William A Petersen, MD
Pediatric Adolescent Medicine Physician in Latham, New York
NPI 1881709079

William A Petersen is a Pediatric Adolescent Medicine Physician based in Latham, NY and is specialized in Adolescent Medicine. William A Petersen practices in Latham, NY and has the professional credentials of MD. The NPI Number for William A Petersen is 1881709079 and holds a License No. 080697 (New York).

The current practice location address for William A Petersen is 10 Century Hill Dr, Latham, NY and can be reached out via phone at 518-783-5563 and via fax at 518-785-5708.

Location: 10 Century Hill Dr, Latham, NY, 12110-2162
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881709079
Provider Name
William A Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10 Century Hill Dr, Latham, NY, 12110-2162
Phone Number
518-783-5563
Fax Number
518-785-5708
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000401387001 01 NY BS OF NENY
00392741 05 NY
26208 01 NY MVP
10002804 01 NY CDPHP
institution
Provider Business Practice Location Address Details
Address
10 Century Hill Dr
City
Latham
State
New York
Zip
12110-2162
Phone Number
518-783-5563
Fax Number
518-785-5708
person
Provider Business Mailing Address Details
Address
10 Century Hill Dr
City
Latham
State
New York
Zip
12110-2162
Phone Number
518-783-5563
Fax Number
518-785-5708
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
080697 (New York)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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