Doctor Name: | OSCAR ALBERTO PEGUERO |
NPI Number: | 1780820241 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD036073L |
Business Practice Address: | 171 Mountain Rd Sugarloaf, PA - 182493707 |
Business Phone Number: | 5707884141 |
Business Fax Number: | 5707081055 |
Mailing Address: | 171 Mountain Rd, SUGARLOAF |
State: | PA |
Postal Code: | 182493707 |
Phone Number: | 5707884141 |
Fax Number: | 5707081055 |
NPI Enumeration Date: | 01/05/2009 |
NPI Last Update Date: | 01/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD036073L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |