Individual provider · Type 1 NPI

Peter J. Colligan, PA

Surgical Physician Assistant · Syracuse, NY

NPI number 1235799768 Active

Practice location

301 Prospect Ave
Syracuse, NY 13203-1807

Other practice locations

  • 111 N Lowell Ave, Syracuse, NY 13204-2013 · (315) 771-2159

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X023111 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1235799768

Peter J. Colligan, PA's National Provider Identifier is 1235799768, issued on Jun 17, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Syracuse, NY. The record was last updated on Jun 17, 2019.